23D0928523 CLIA NUMBER - JON C HERBENER MD PC

Laboratory Demographics

  • CLIA Code: 23D0928523
  • Facility Name: JON C HERBENER MD PC
  • Facility Address: 39 NORTH STREET
    HILLSDALE, MI
    ZIP 49242
  • Facility Phone: 517 437-5385
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLE K. ELLIS
  • NPI Number: 1366490427
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D0928523
LAB Type Physician Office
Facility Name JON C HERBENER MD PC
Street 39 NORTH STREET
City HILLSDALE
State MI
ZIP 49242
Phone 517 437-5385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director NICHOLE K. ELLIS

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