23D0376187 CLIA NUMBER - HAROLD F ROTH DO

Laboratory Demographics

  • CLIA Code: 23D0376187
  • Facility Name: HAROLD F ROTH DO
  • Facility Address: 1627 LAKE LANSING ROAD, SUITE 200
    LANSING, MI
    ZIP 48912
  • Facility Phone: 517 485-1789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD F. ROTH
  • NPI Number: 1023005659
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D0376187
LAB Type Physician Office
Facility Name HAROLD F ROTH DO
Street 1627 LAKE LANSING ROAD, SUITE 200
City LANSING
State MI
ZIP 48912
Phone 517 485-1789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director HAROLD F. ROTH

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