23D1009298 CLIA NUMBER - AARON K CLARK, MD, PC

Laboratory Demographics

  • CLIA Code: 23D1009298
  • Facility Name: AARON K CLARK, MD, PC
  • Facility Address: 1984 HOLLAND AVENUE
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 982-2095
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AARON K. CLARK
  • NPI Number: 1235113382
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1009298
LAB Type Physician Office
Facility Name AARON K CLARK, MD, PC
Street 1984 HOLLAND AVENUE
City PORT HURON
State MI
ZIP 48060
Phone 810 982-2095
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 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director AARON K. CLARK

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