23D2001123 CLIA NUMBER - MICHIGAN VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 23D2001123
  • Facility Name: MICHIGAN VASCULAR CENTER
  • Facility Address: G 5020 W BRISTOL ROAD
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 732-1620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH JACOT
  • NPI Number: 1881039634
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2001123
LAB Type Physician Office
Facility Name MICHIGAN VASCULAR CENTER
Street G 5020 W BRISTOL ROAD
City FLINT
State MI
ZIP 48507
Phone 810 732-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director JOSEPH JACOT

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