23D0878512 CLIA NUMBER - MCLAREN MACOMB

Laboratory Demographics

  • CLIA Code: 23D0878512
  • Facility Name: MCLAREN MACOMB
  • Facility Address: 36500 GRATIOT SUITE 102 MULTI SPECIALTY CLINIC
    CLINTON TOWNSHIP, MI
    ZIP 48035
  • Facility Phone: 586 790-9003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETH WENDT
  • NPI Number: 1285685339
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0878512
LAB Type Physician Office
Facility Name MCLAREN MACOMB
Street 36500 GRATIOT SUITE 102 MULTI SPECIALTY CLINIC
City CLINTON TOWNSHIP
State MI
ZIP 48035
Phone 586 790-9003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director BETH WENDT

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