23D2017037 CLIA NUMBER - BAD AXE VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 23D2017037
  • Facility Name: BAD AXE VA OUTPATIENT CLINIC
  • Facility Address: 1142 S VAN DYKE ROAD
    BAD AXE, MI
    ZIP 48413
  • Facility Phone: 989 269-7445
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YASEEN J. MOHIUDDIN
  • NPI Number: 1588979801
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2017037
LAB Type Community Clinic
Facility Name BAD AXE VA OUTPATIENT CLINIC
Street 1142 S VAN DYKE ROAD
City BAD AXE
State MI
ZIP 48413
Phone 989 269-7445
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/2/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director YASEEN J. MOHIUDDIN

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