23D0987459 CLIA NUMBER - MICHAEL LIDDELL, DO

Laboratory Demographics

  • CLIA Code: 23D0987459
  • Facility Name: MICHAEL LIDDELL, DO
  • Facility Address: 13105 SCHAVEY, SUITE 4
    DEWITT, MI
    ZIP 48820
  • Facility Phone: 517 669-2885
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL C. LIDDELL
  • NPI Number: 1134239064
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0987459
LAB Type Physician Office
Facility Name MICHAEL LIDDELL, DO
Street 13105 SCHAVEY, SUITE 4
City DEWITT
State MI
ZIP 48820
Phone 517 669-2885
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director MICHAEL C. LIDDELL

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