23D0886615 CLIA NUMBER - HURON FAMILY PRACTICE CENTER

Laboratory Demographics

  • CLIA Code: 23D0886615
  • Facility Name: HURON FAMILY PRACTICE CENTER
  • Facility Address: 1225 10TH STREET
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 987-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER G. RUTHVEN
  • NPI Number: 1326070145
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0886615
LAB Type Physician Office
Facility Name HURON FAMILY PRACTICE CENTER
Street 1225 10TH STREET
City PORT HURON
State MI
ZIP 48060
Phone 810 987-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director ALEXANDER G. RUTHVEN

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