23D0971794 CLIA NUMBER - ARTHUR R VENDOLA, MD

Laboratory Demographics

  • CLIA Code: 23D0971794
  • Facility Name: ARTHUR R VENDOLA, MD
  • Facility Address: 1100 E MICHIGAN AVENUE, SUITE 204
    JACKSON, MI
    ZIP 49201
  • Facility Phone: 517 787-6210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR R. VENDOLA
  • NPI Number: 1518043512
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0971794
LAB Type Physician Office
Facility Name ARTHUR R VENDOLA, MD
Street 1100 E MICHIGAN AVENUE, SUITE 204
City JACKSON
State MI
ZIP 49201
Phone 517 787-6210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director ARTHUR R. VENDOLA

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