23D2007506 CLIA NUMBER - PACKARD HEALTH

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Laboratory Demographics

CLIA Number: 23D2007506

Facility Name: PACKARD HEALTH

Facility Address:
1915 PAULINE BLVD
ANN ARBOR, MI
ZIP 48103
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Facility Phone Number: 734 926-4900

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841687589

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2007506
LAB Type	Physician Office
Facility Name	PACKARD HEALTH
Street	1915 PAULINE BLVD
City	ANN ARBOR
State	MI
ZIP	48103
Phone	734 926-4900
CertificateType	3
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024