23D1057925 CLIA NUMBER - ARTESIAN SPRINGS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 23D1057925
  • Facility Name: ARTESIAN SPRINGS MEDICAL CLINIC
  • Facility Address: 100 W MAIN STREET P O BOX 578
    MARION, MI
    ZIP 49665
  • Facility Phone: 231 631-1227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN GRILLO
  • NPI Number: 1316266869
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1057925
LAB Type Physician Office
Facility Name ARTESIAN SPRINGS MEDICAL CLINIC
Street 100 W MAIN STREET P O BOX 578
City MARION
State MI
ZIP 49665
Phone 231 631-1227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director ALAN GRILLO

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This page was last updated on: 6/4/2025