23D0375573 CLIA NUMBER - UMH - SPARROW FOWLER PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0375573
  • Facility Name: UMH - SPARROW FOWLER PRIMARY CARE
  • Facility Address: 11017 W 3RD STREET
    FOWLER, MI
    ZIP 48835
  • Facility Phone: 989 593-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS W. POFF
  • NPI Number: 1619124328
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0375573
LAB Type Physician Office
Facility Name UMH - SPARROW FOWLER PRIMARY CARE
Street 11017 W 3RD STREET
City FOWLER
State MI
ZIP 48835
Phone 989 593-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director DOUGLAS W. POFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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