23D0688641 CLIA NUMBER - CHELSEA FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 23D0688641

Facility Name: CHELSEA FAMILY PRACTICE

Facility Address:
14700 E OLD US 12
CHELSEA, MI
ZIP 48118
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Facility Phone Number: 734 615-7902

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1811174162

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	23D0688641
LAB Type	Physician Office
Facility Name	CHELSEA FAMILY PRACTICE
Street	14700 E OLD US 12
City	CHELSEA
State	MI
ZIP	48118
Phone	734 615-7902
CertificateType	3
CertificateEffectiveDate	2/15/2024
CertificateExpirationDate	2/14/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024