23D2001030 CLIA NUMBER - REGIONAL MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 23D2001030
  • Facility Name: REGIONAL MEDICAL IMAGING
  • Facility Address: 3346 LENNON ROAD
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 732-1919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDY D. HICKS
  • NPI Number: 1427057967
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D2001030
LAB Type Physician Office
Facility Name REGIONAL MEDICAL IMAGING
Street 3346 LENNON ROAD
City FLINT
State MI
ZIP 48507
Phone 810 732-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director RANDY D. HICKS

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