23D0997600 CLIA NUMBER - MEDPARTNERS PLC

Laboratory Demographics

  • CLIA Code: 23D0997600
  • Facility Name: MEDPARTNERS PLC
  • Facility Address: 2480 W CAMPUS DRIVE BLDG B SUITE 300
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: 989 779-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICARDO R. GUYTINGOO MD
  • NPI Number: 1407071038
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0997600
LAB Type Physician Office
Facility Name MEDPARTNERS PLC
Street 2480 W CAMPUS DRIVE BLDG B SUITE 300
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 989 779-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director RICARDO R. GUYTINGOO MD

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