23D0964773 CLIA NUMBER - UMH - SPARROW CARSON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0964773
  • Facility Name: UMH - SPARROW CARSON PRIMARY CARE
  • Facility Address: 102 S THIRD STREET SUITE 100
    CARSON CITY, MI
    ZIP 48811
  • Facility Phone: 989 584-1308
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAN LI
  • NPI Number: 1013987833
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0964773
LAB Type Physician Office
Facility Name UMH - SPARROW CARSON PRIMARY CARE
Street 102 S THIRD STREET SUITE 100
City CARSON CITY
State MI
ZIP 48811
Phone 989 584-1308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director TAN LI

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