23D0891669 CLIA NUMBER - BRENT J RAAP DO

Laboratory Demographics

  • CLIA Code: 23D0891669
  • Facility Name: BRENT J RAAP DO
  • Facility Address: 4293 N HURON ROAD SUITE 1
    PINCONNING, MI
    ZIP 48650
  • Facility Phone: 989 892-6587
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRENT J. RAAP
  • NPI Number: 1780678110
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0891669
LAB Type Physician Office
Facility Name BRENT J RAAP DO
Street 4293 N HURON ROAD SUITE 1
City PINCONNING
State MI
ZIP 48650
Phone 989 892-6587
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director BRENT J. RAAP

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