23D0380984 CLIA NUMBER - CADILLAC FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 23D0380984
  • Facility Name: CADILLAC FAMILY PHYSICIANS
  • Facility Address: 8950 PROFESSIONAL DRIVE
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 775-2493
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. DOMINIC J. KIOMENTO
  • NPI Number: 1336299668
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0380984
LAB Type Physician Office
Facility Name CADILLAC FAMILY PHYSICIANS
Street 8950 PROFESSIONAL DRIVE
City CADILLAC
State MI
ZIP 49601
Phone 231 775-2493
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director DR. DOMINIC J. KIOMENTO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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