23D1054784 CLIA NUMBER - DECKERVILLE HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 23D1054784
  • Facility Name: DECKERVILLE HEALTHCARE SERVICES
  • Facility Address: 5590 MAIN STREET SUITE 6
    LEXINGTON, MI
    ZIP 48450
  • Facility Phone: 810 376-2835
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PANY DECOSSARD MD
  • NPI Number: 1619095718
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D1054784
LAB Type Community Clinic
Facility Name DECKERVILLE HEALTHCARE SERVICES
Street 5590 MAIN STREET SUITE 6
City LEXINGTON
State MI
ZIP 48450
Phone 810 376-2835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Community Clinic
Lab Director PANY DECOSSARD MD

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