23D2001100 CLIA NUMBER - MICHIGAN VASCULAR ACCESS CENTER

Laboratory Demographics

  • CLIA Code: 23D2001100
  • Facility Name: MICHIGAN VASCULAR ACCESS CENTER
  • Facility Address: 5202 MILLER ROAD SUITE B
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 600-0560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BISSONETTE
  • NPI Number: 1033167176
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2001100
LAB Type Physician Office
Facility Name MICHIGAN VASCULAR ACCESS CENTER
Street 5202 MILLER ROAD SUITE B
City FLINT
State MI
ZIP 48507
Phone 810 600-0560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director KIMBERLY BISSONETTE

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