23D0932628 CLIA NUMBER - ULTRASOUND CLINIC DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 23D0932628
  • Facility Name: ULTRASOUND CLINIC DIAGNOSTIC
  • Facility Address: 2575 SPRING ARBOR ROAD
    JACKSON, MI
    ZIP 49203
  • Facility Phone: 517 784-5150
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: IMDAD H. BUTT
  • NPI Number: 1871649236
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D0932628
LAB Type Other
Facility Name ULTRASOUND CLINIC DIAGNOSTIC
Street 2575 SPRING ARBOR ROAD
City JACKSON
State MI
ZIP 49203
Phone 517 784-5150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Other
Lab Director IMDAD H. BUTT

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