23D1092142 CLIA NUMBER - MARY MARSHALL MD PC

Laboratory Demographics

  • CLIA Code: 23D1092142
  • Facility Name: MARY MARSHALL MD PC
  • Facility Address: 9400 S SAGINAW STREET SUITE C
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 695-2210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY C. MARSHALL
  • NPI Number: 1245320589
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1092142
LAB Type Physician Office
Facility Name MARY MARSHALL MD PC
Street 9400 S SAGINAW STREET SUITE C
City GRAND BLANC
State MI
ZIP 48439
Phone 810 695-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director MARY C. MARSHALL

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