23D0702519 CLIA NUMBER - SHEPHERD CLINIC

Laboratory Demographics

  • CLIA Code: 23D0702519
  • Facility Name: SHEPHERD CLINIC
  • Facility Address: 364 W WRIGHT AVENUE
    SHEPHERD, MI
    ZIP 48883
  • Facility Phone: 989 828-6691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. REICHMANN
  • NPI Number: 1235184037
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0702519
LAB Type Physician Office
Facility Name SHEPHERD CLINIC
Street 364 W WRIGHT AVENUE
City SHEPHERD
State MI
ZIP 48883
Phone 989 828-6691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT C. REICHMANN

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