23D0377966 CLIA NUMBER - JOHN M STAFFORD MD AND ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 23D0377966
  • Facility Name: JOHN M STAFFORD MD AND ASSOCIATES PC
  • Facility Address: 3800 HOLLYWOOD RD STE 101
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 428-2552
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN M. STAFFORD
  • NPI Number: 1730182247
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0377966
LAB Type Physician Office
Facility Name JOHN M STAFFORD MD AND ASSOCIATES PC
Street 3800 HOLLYWOOD RD STE 101
City ST JOSEPH
State MI
ZIP 49085
Phone 269 428-2552
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director JOHN M. STAFFORD

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