23D0378524 CLIA NUMBER - IMDAD H BUTT MD PC

Laboratory Demographics

  • CLIA Code: 23D0378524
  • Facility Name: IMDAD H BUTT MD PC
  • Facility Address: 2575 SPRING ARBOR RD
    JACKSON, MI
    ZIP 49203
  • Facility Phone: 517 784-0020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMDAD H. BUTT
  • NPI Number: 1548210487
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0378524
LAB Type Physician Office
Facility Name IMDAD H BUTT MD PC
Street 2575 SPRING ARBOR RD
City JACKSON
State MI
ZIP 49203
Phone 517 784-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director IMDAD H. BUTT

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