23D0976750 CLIA NUMBER - RONALD GONZALES MD PLLC

Laboratory Demographics

  • CLIA Code: 23D0976750
  • Facility Name: RONALD GONZALES MD PLLC
  • Facility Address: 1124 N SAGINAW
    SAINT CHARLES, MI
    ZIP 48655
  • Facility Phone: 517 865-8270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD L. GONZALES MD
  • NPI Number: 1841274909
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0976750
LAB Type Physician Office
Facility Name RONALD GONZALES MD PLLC
Street 1124 N SAGINAW
City SAINT CHARLES
State MI
ZIP 48655
Phone 517 865-8270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director RONALD L. GONZALES MD

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