23D1078237 CLIA NUMBER - LAPEER PEDIATRICS

Laboratory Demographics

CLIA Number: 23D1078237

Facility Name: LAPEER PEDIATRICS

Facility Address:
1083 SUNCREST DRIVE SUITE A
LAPEER, MI
ZIP 48446
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Facility Phone Number: 810 245-9700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265623276

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1078237
LAB Type	Physician Office
Facility Name	LAPEER PEDIATRICS
Street	1083 SUNCREST DRIVE SUITE A
City	LAPEER
State	MI
ZIP	48446
Phone	810 245-9700
CertificateType	4
CertificateEffectiveDate	1/4/2024
CertificateExpirationDate	1/3/2026
FacilityType	Waiver

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