23D1054784 CLIA NUMBER - DECKERVILLE HEALTHCARE SERVICES

Laboratory Demographics

CLIA Number: 23D1054784

Facility Name: DECKERVILLE HEALTHCARE SERVICES

Facility Address:
5590 MAIN STREET SUITE 6
LEXINGTON, MI
ZIP 48450
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Facility Phone Number: 810 376-2835

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1619095718

Taxonomy: 282NC0060X - General Acute Care Hospital

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
CertificateType	4
CertificateEffectiveDate	5/31/2022
CertificateExpirationDate	5/30/2024
FacilityType	Waiver

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