23D0992485 CLIA NUMBER - MSU HEALTH CARE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D0992485
  • Facility Name: MSU HEALTH CARE FAMILY MEDICINE
  • Facility Address: 804 SERVICE RD SUITE A225
    EAST LANSING, MI
    ZIP 48824
  • Facility Phone: 517 353-2562
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: PAUL T. MULVEY
  • NPI Number: 1710656129
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D0992485
LAB Type Community Clinic
Facility Name MSU HEALTH CARE FAMILY MEDICINE
Street 804 SERVICE RD SUITE A225
City EAST LANSING
State MI
ZIP 48824
Phone 517 353-2562
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 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Community Clinic
Lab Director PAUL T. MULVEY

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