23D0669469 CLIA NUMBER - HOLT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 23D0669469
  • Facility Name: HOLT FAMILY PRACTICE
  • Facility Address: 2073 N AURELIUS ROAD
    HOLT, MI
    ZIP 48842
  • Facility Phone: 517 694-1466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW G. GASTEIGER
  • NPI Number: 1790898070
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0669469
LAB Type Physician Office
Facility Name HOLT FAMILY PRACTICE
Street 2073 N AURELIUS ROAD
City HOLT
State MI
ZIP 48842
Phone 517 694-1466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director MATTHEW G. GASTEIGER

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