23D0903877 CLIA NUMBER - FAMILY DOC'S CLINIC

Laboratory Demographics

  • CLIA Code: 23D0903877
  • Facility Name: FAMILY DOC'S CLINIC
  • Facility Address: 8275 HOLLY ROAD, SUITE 1
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 603-0990
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EVTISHIOS J. DAROS
  • NPI Number: 1902029713
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0903877
LAB Type Physician Office
Facility Name FAMILY DOC'S CLINIC
Street 8275 HOLLY ROAD, SUITE 1
City GRAND BLANC
State MI
ZIP 48439
Phone 810 603-0990
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 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director EVTISHIOS J. DAROS

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