23D0909534 CLIA NUMBER - HAMTRAMCK FAMILY HEALTH CARE PC

Laboratory Demographics

CLIA Number: 23D0909534

Facility Name: HAMTRAMCK FAMILY HEALTH CARE PC

Facility Address:
9740 CONANT STREET
HAMTRAMCK, MI
ZIP 48212
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Facility Phone Number: 313 556-9900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881973592

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0909534
LAB Type	Physician Office
Facility Name	HAMTRAMCK FAMILY HEALTH CARE PC
Street	9740 CONANT STREET
City	HAMTRAMCK
State	MI
ZIP	48212
Phone	313 556-9900
CertificateType	4
CertificateEffectiveDate	8/31/2022
CertificateExpirationDate	8/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024