23D0668849 CLIA NUMBER - PHYSICIAN HEALTHCARE NETWORK, P C

Laboratory Demographics

  • CLIA Code: 23D0668849
  • Facility Name: PHYSICIAN HEALTHCARE NETWORK, P C
  • Facility Address: 3350 GRATIOT BLVD
    MARYSVILLE, MI
    ZIP 48040
  • Facility Phone: 810 364-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. COLOMBO
  • NPI Number: 1093921074
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0668849
LAB Type Physician Office
Facility Name PHYSICIAN HEALTHCARE NETWORK, P C
Street 3350 GRATIOT BLVD
City MARYSVILLE
State MI
ZIP 48040
Phone 810 364-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director JOHN D. COLOMBO

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