23D0375951 CLIA NUMBER - MCLAREN GREATER LANSING

Laboratory Demographics

  • CLIA Code: 23D0375951
  • Facility Name: MCLAREN GREATER LANSING
  • Facility Address: 2104 JOLLY ROAD SUITE 240
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 975-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES A. BROUILLETTE
  • NPI Number: 1558556332
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 23D0375951
LAB Type Physician Office
Facility Name MCLAREN GREATER LANSING
Street 2104 JOLLY ROAD SUITE 240
City OKEMOS
State MI
ZIP 48864
Phone 517 975-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director JAMES A. BROUILLETTE

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