23D0375186 CLIA NUMBER - PRESCOTT CLINIC

Laboratory Demographics

  • CLIA Code: 23D0375186
  • Facility Name: PRESCOTT CLINIC
  • Facility Address: 125 N WASHINGTON
    PRESCOTT, MI
    ZIP 48756
  • Facility Phone: 989 873-3352
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. OROW
  • NPI Number: 1295248508
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0375186
LAB Type Rural Health Clinic
Facility Name PRESCOTT CLINIC
Street 125 N WASHINGTON
City PRESCOTT
State MI
ZIP 48756
Phone 989 873-3352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Rural Health Clinic
Lab Director NICHOLAS J. OROW

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