23D0949873 CLIA NUMBER - MORENCI MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 23D0949873
  • Facility Name: MORENCI MEDICAL ASSOCIATES PC
  • Facility Address: 240 WEST MAIN STREET
    MORENCI, MI
    ZIP 49256
  • Facility Phone: 517 458-6848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIVAPRASAD SHETTY MD
  • NPI Number: 1891983805
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0949873
LAB Type Physician Office
Facility Name MORENCI MEDICAL ASSOCIATES PC
Street 240 WEST MAIN STREET
City MORENCI
State MI
ZIP 49256
Phone 517 458-6848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director SHIVAPRASAD SHETTY MD

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