23D0676632 CLIA NUMBER - MCLAREN MACOMB FAMILY FIRST CLINIC

Laboratory Demographics

  • CLIA Code: 23D0676632
  • Facility Name: MCLAREN MACOMB FAMILY FIRST CLINIC
  • Facility Address: 36500 S GRATIOT AVENUE SUITE 202
    CLINTON TOWNSHIP, MI
    ZIP 48035
  • Facility Phone: (586) 493-3727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD J. CHALMERS
  • NPI Number: 1437270311
  • Taxonomy: 204D00000X - Neuromusculoskeletal Medicine & OMM

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CLIA Record

Field Name Field Value
CLIA Number 23D0676632
LAB Type Physician Office
Facility Name MCLAREN MACOMB FAMILY FIRST CLINIC
Street 36500 S GRATIOT AVENUE SUITE 202
City CLINTON TOWNSHIP
State MI
ZIP 48035
Phone 5864933727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director RICHARD J. CHALMERS

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This page was last updated on: 5/18/2026