23D0980172 CLIA NUMBER - DOMENICO S AUSIELLO, MD, PC

Laboratory Demographics

  • CLIA Code: 23D0980172
  • Facility Name: DOMENICO S AUSIELLO, MD, PC
  • Facility Address: 200 S FRANKLIN STREET
    GREENVILLE, MI
    ZIP 48838
  • Facility Phone: 616 754-6949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMENICO S. AUSIELLO
  • NPI Number: 1144254095
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0980172
LAB Type Physician Office
Facility Name DOMENICO S AUSIELLO, MD, PC
Street 200 S FRANKLIN STREET
City GREENVILLE
State MI
ZIP 48838
Phone 616 754-6949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DOMENICO S. AUSIELLO

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