Healther Providers Data Logo

23D1010134 CLIA NUMBER - V M D PRIMARY PROVIDERS EASTERN MICHIGAN, P C

Laboratory Demographics

CLIA Number: 23D1010134

Facility Name: V M D PRIMARY PROVIDERS EASTERN MICHIGAN, P C

Facility Address:
22024 PONTIAC TRAIL
SOUTH LYON, MI
ZIP 48178
Get Directions

Facility Phone Number: 248 437-2525

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518004084

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 23D1010134
LAB Type Physician Office
Facility Name V M D PRIMARY PROVIDERS EASTERN MICHIGAN, P C
Street 22024 PONTIAC TRAIL
City SOUTH LYON
State MI
ZIP 48178
Phone 248 437-2525
CertificateType 4
CertificateEffectiveDate 3/6/2023
CertificateExpirationDate 3/5/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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