23D1042678 CLIA NUMBER - MEMORIAL HEALTHCARE ANTI COAGULATION CLINIC

Laboratory Demographics

  • CLIA Code: 23D1042678
  • Facility Name: MEMORIAL HEALTHCARE ANTI COAGULATION CLINIC
  • Facility Address: 721 N SHIAWASSEE
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 720-5500
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH MUNROE
  • NPI Number: 1235336330
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 23D1042678
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MEMORIAL HEALTHCARE ANTI COAGULATION CLINIC
Street 721 N SHIAWASSEE
City OWOSSO
State MI
ZIP 48867
Phone 989 720-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOSEPH MUNROE

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