23D0373853 CLIA NUMBER - TRINITY HEALTH IHA MEDICAL GROUP PRIMARY CARE CLARKSTON

Laboratory Demographics

  • CLIA Code: 23D0373853
  • Facility Name: TRINITY HEALTH IHA MEDICAL GROUP PRIMARY CARE CLARKSTON
  • Facility Address: 6770 DIXIE HIGHWAY SUITE 202
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 625-7007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID W. MCNAUGHTON
  • NPI Number: 1508953787
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0373853
LAB Type Physician Office
Facility Name TRINITY HEALTH IHA MEDICAL GROUP PRIMARY CARE CLARKSTON
Street 6770 DIXIE HIGHWAY SUITE 202
City CLARKSTON
State MI
ZIP 48346
Phone 248 625-7007
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 DAVID W. MCNAUGHTON

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