23D0376154 CLIA NUMBER - UNIVERSITY OF MICHIGAN HEALTH - SPARROW STANTON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0376154
  • Facility Name: UNIVERSITY OF MICHIGAN HEALTH - SPARROW STANTON PRIMARY CARE
  • Facility Address: 545 N STATE STREET P O BOX 638
    STANTON, MI
    ZIP 48888
  • Facility Phone: 989 831-8301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY B. STOWITTS
  • NPI Number: 1821068479
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0376154
LAB Type Physician Office
Facility Name UNIVERSITY OF MICHIGAN HEALTH - SPARROW STANTON PRIMARY CARE
Street 545 N STATE STREET P O BOX 638
City STANTON
State MI
ZIP 48888
Phone 989 831-8301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director JEFFREY B. STOWITTS

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This page was last updated on: 6/4/2025