23D2015300 CLIA NUMBER - MARSHALL WICKENS DO

Laboratory Demographics

  • CLIA Code: 23D2015300
  • Facility Name: MARSHALL WICKENS DO
  • Facility Address: 207 B S CHESTNUT STREET
    REED CITY, MI
    ZIP 49677
  • Facility Phone: 231 832-9488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARSHALL WICKENS
  • NPI Number: 1841263134
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2015300
LAB Type Physician Office
Facility Name MARSHALL WICKENS DO
Street 207 B S CHESTNUT STREET
City REED CITY
State MI
ZIP 49677
Phone 231 832-9488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director MARSHALL WICKENS

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