23D1022773 CLIA NUMBER - JONESVILLE HEALTH CARE PLLC

Laboratory Demographics

CLIA Number: 23D1022773

Facility Name: JONESVILLE HEALTH CARE PLLC

Facility Address:
216 OLDS STREET
JONESVILLE, MI
ZIP 49250
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Facility Phone Number: 517 849-7100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063573830

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1022773
LAB Type	Physician Office
Facility Name	JONESVILLE HEALTH CARE PLLC
Street	216 OLDS STREET
City	JONESVILLE
State	MI
ZIP	49250
Phone	517 849-7100
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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