23D1088916 CLIA NUMBER - BONITA WANG DO PLC

Laboratory Demographics

  • CLIA Code: 23D1088916
  • Facility Name: BONITA WANG DO PLC
  • Facility Address: G 1425 S GRAHAM ROAD
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 732-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BONITA WANG DO
  • NPI Number: 1922015494
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D1088916
LAB Type Physician Office
Facility Name BONITA WANG DO PLC
Street G 1425 S GRAHAM ROAD
City FLINT
State MI
ZIP 48532
Phone 810 732-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director BONITA WANG DO

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This page was last updated on: 9/29/2025