23D0702519 CLIA NUMBER - SHEPHERD CLINIC

Laboratory Demographics

CLIA Number: 23D0702519

Facility Name: SHEPHERD CLINIC

Facility Address:
364 W WRIGHT AVENUE
SHEPHERD, MI
ZIP 48883
Get Directions

Facility Phone Number: 989 828-6691

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235184037

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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