23D0374830 CLIA NUMBER - MEDICAL CLINIC OF NORTHVILLE

Laboratory Demographics

CLIA Number: 23D0374830

Facility Name: MEDICAL CLINIC OF NORTHVILLE

Facility Address:
308 S MAIN STREET
NORTHVILLE, MI
ZIP 48167
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Facility Phone Number: 248 349-1900

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1295865954

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 23D0374830
LAB Type Physician Office
Facility Name MEDICAL CLINIC OF NORTHVILLE
Street 308 S MAIN STREET
City NORTHVILLE
State MI
ZIP 48167
Phone 248 349-1900
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024