23D2005990 CLIA NUMBER - FRED WURSTER DO PC

Laboratory Demographics

  • CLIA Code: 23D2005990
  • Facility Name: FRED WURSTER DO PC
  • Facility Address: 1257 N MAIN STREET
    LAPEER, MI
    ZIP 48446
  • Facility Phone: (810) 660-7902
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED WURSTER
  • NPI Number: 1821079666
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2005990
LAB Type Physician Office
Facility Name FRED WURSTER DO PC
Street 1257 N MAIN STREET
City LAPEER
State MI
ZIP 48446
Phone 8106607902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2026
Certificate Expiration Date 4/8/2028
Facility Type Physician Office
Lab Director FRED WURSTER

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This page was last updated on: 5/18/2026