23D0679952 CLIA NUMBER - PARTNERS IN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 23D0679952
  • Facility Name: PARTNERS IN FAMILY PRACTICE
  • Facility Address: 3601 W FRONT ST
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 946-1120
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK P. DAVENPORT
  • NPI Number: 1437187093
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0679952
LAB Type Physician Office
Facility Name PARTNERS IN FAMILY PRACTICE
Street 3601 W FRONT ST
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 946-1120
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARK P. DAVENPORT

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