23D1001223 CLIA NUMBER - PAMELA HACKL, DO, PLC

Laboratory Demographics

  • CLIA Code: 23D1001223
  • Facility Name: PAMELA HACKL, DO, PLC
  • Facility Address: 7443 JACKMAN ROAD
    TEMPERANCE, MI
    ZIP 48182
  • Facility Phone: 734 850-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA J. HACKL
  • NPI Number: 1134125024
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1001223
LAB Type Physician Office
Facility Name PAMELA HACKL, DO, PLC
Street 7443 JACKMAN ROAD
City TEMPERANCE
State MI
ZIP 48182
Phone 734 850-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director PAMELA J. HACKL

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