23D1008204 CLIA NUMBER - ARACELI C MESIONA-BRUCAL MD

Laboratory Demographics

CLIA Number: 23D1008204

Facility Name: ARACELI C MESIONA-BRUCAL MD

Facility Address:
8683 RED ARROW HWY
WATERVLIET, MI
ZIP 49098
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Facility Phone Number: 269 468-7684

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578572517

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D1008204
LAB Type	Physician Office
Facility Name	ARACELI C MESIONA-BRUCAL MD
Street	8683 RED ARROW HWY
City	WATERVLIET
State	MI
ZIP	49098
Phone	269 468-7684
CertificateType	4
CertificateEffectiveDate	1/14/2023
CertificateExpirationDate	1/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024