23D0871621 CLIA NUMBER - LARRY M BENNETT MD

Laboratory Demographics

  • CLIA Code: 23D0871621
  • Facility Name: LARRY M BENNETT MD
  • Facility Address: 217 WEST BROADWAY
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: (517) 773-4433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY M. BENNETT MD
  • NPI Number: 1093896029
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0871621
LAB Type Physician Office
Facility Name LARRY M BENNETT MD
Street 217 WEST BROADWAY
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 5177734433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director LARRY M. BENNETT MD

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