23D0376082 CLIA NUMBER - MCLAREN CENTRAL MICHIGAN DBA MGL MMP PORTLAND FAMILY CARE

Laboratory Demographics

  • CLIA Code: 23D0376082
  • Facility Name: MCLAREN CENTRAL MICHIGAN DBA MGL MMP PORTLAND FAMILY CARE
  • Facility Address: 406 KENT STREET
    PORTLAND, MI
    ZIP 48875
  • Facility Phone: 517 647-4166
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CRAIG M. BROWN
  • NPI Number: 1588285415
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0376082
LAB Type Rural Health Clinic
Facility Name MCLAREN CENTRAL MICHIGAN DBA MGL MMP PORTLAND FAMILY CARE
Street 406 KENT STREET
City PORTLAND
State MI
ZIP 48875
Phone 517 647-4166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Rural Health Clinic
Lab Director CRAIG M. BROWN

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