23D0373702 CLIA NUMBER - DALE A HANSON MD

Laboratory Demographics

  • CLIA Code: 23D0373702
  • Facility Name: DALE A HANSON MD
  • Facility Address: 1515 W ATHERTON ROAD P O BOX 7427
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 235-1102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DALE A. HANSON
  • NPI Number: 1346342086
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0373702
LAB Type Physician Office
Facility Name DALE A HANSON MD
Street 1515 W ATHERTON ROAD P O BOX 7427
City FLINT
State MI
ZIP 48507
Phone 810 235-1102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DALE A. HANSON

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This page was last updated on: 9/29/2025