23D1078876 CLIA NUMBER - MANJALI S SHASTRY MD PC

Laboratory Demographics

CLIA Number: 23D1078876

Facility Name: MANJALI S SHASTRY MD PC

Facility Address:
1787 S M-52
OWOSSO, MI
ZIP 48867
Get Directions

Facility Phone Number: 989 729-4600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801990254

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	23D1078876
LAB Type	Physician Office
Facility Name	MANJALI S SHASTRY MD PC
Street	1787 S M-52
City	OWOSSO
State	MI
ZIP	48867
Phone	989 729-4600
CertificateType	4
CertificateEffectiveDate	1/17/2024
CertificateExpirationDate	1/16/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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