23D1073039 CLIA NUMBER - LAPEER COUNTY SURGERY CENTER

Laboratory Demographics

CLIA Number: 23D1073039

Facility Name: LAPEER COUNTY SURGERY CENTER

Facility Address:
1546 CALLIS ROAD
LAPEER, MI
ZIP 48446
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Facility Phone Number: 810 667-4000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1770796757

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1073039
LAB Type	Ambulatory Surgery Center
Facility Name	LAPEER COUNTY SURGERY CENTER
Street	1546 CALLIS ROAD
City	LAPEER
State	MI
ZIP	48446
Phone	810 667-4000
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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