23D1103096 CLIA NUMBER - IMLAY CITY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 23D1103096
  • Facility Name: IMLAY CITY FAMILY PRACTICE
  • Facility Address: 6672 NEWARK ROAD
    IMLAY CITY, MI
    ZIP 48444
  • Facility Phone: 810 247-3109
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: LAURA E. ZELENAK
  • NPI Number: 1902275944
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D1103096
LAB Type Physician Office
Facility Name IMLAY CITY FAMILY PRACTICE
Street 6672 NEWARK ROAD
City IMLAY CITY
State MI
ZIP 48444
Phone 810 247-3109
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director LAURA E. ZELENAK

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