23D1023400 CLIA NUMBER - HARPER FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 23D1023400

Facility Name: HARPER FAMILY PRACTICE

Facility Address:
19901 E TEN MILE ROAD
SAINT CLAIR SHORES, MI
ZIP 48080
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Facility Phone Number: 586 777-1277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386716520

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	23D1023400
LAB Type	Physician Office
Facility Name	HARPER FAMILY PRACTICE
Street	19901 E TEN MILE ROAD
City	SAINT CLAIR SHORES
State	MI
ZIP	48080
Phone	586 777-1277
CertificateType	4
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	Waiver

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