23D0929766 CLIA NUMBER - MY MICHIGAN FAMILY MEDICINE - BAY CITY

Laboratory Demographics

  • CLIA Code: 23D0929766
  • Facility Name: MY MICHIGAN FAMILY MEDICINE - BAY CITY
  • Facility Address: 4040 N EUCLID AVENUE
    BAY CITY, MI
    ZIP 48706
  • Facility Phone: 989 671-9153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY K. PHALA
  • NPI Number: 1730388380
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0929766
LAB Type Physician Office
Facility Name MY MICHIGAN FAMILY MEDICINE - BAY CITY
Street 4040 N EUCLID AVENUE
City BAY CITY
State MI
ZIP 48706
Phone 989 671-9153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director BRITTANY K. PHALA

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This page was last updated on: 3/20/2025