23D0377939 CLIA NUMBER - BARRETT AND DRISCOLL, MD'S PC

Laboratory Demographics

CLIA Number: 23D0377939

Facility Name: BARRETT AND DRISCOLL, MD'S PC

Facility Address:
2516 NILES AVE
ST JOSEPH, MI
ZIP 49085
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Facility Phone Number: 269 983-6518

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619155611

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	23D0377939
LAB Type	Physician Office
Facility Name	BARRETT AND DRISCOLL, MD'S PC
Street	2516 NILES AVE
City	ST JOSEPH
State	MI
ZIP	49085
Phone	269 983-6518
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024