23D1049090 CLIA NUMBER - RRC LAPEER

Laboratory Demographics

CLIA Number: 23D1049090

Facility Name: RRC LAPEER

Facility Address:
1375 N MAIN STREET
LAPEER, MI
ZIP 48446
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Facility Phone Number: 810 667-5940

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1871656181

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1049090
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RRC LAPEER
Street	1375 N MAIN STREET
City	LAPEER
State	MI
ZIP	48446
Phone	810 667-5940
CertificateType	4
CertificateEffectiveDate	12/22/2023
CertificateExpirationDate	12/21/2025
FacilityType	Waiver

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