23D2019899 CLIA NUMBER - ST JOHNS INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 23D2019899
  • Facility Name: ST JOHNS INTERNAL MEDICINE PC
  • Facility Address: 110 W HIGHAM ST
    SAINT JOHNS, MI
    ZIP 48879
  • Facility Phone: 989 224-0646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER T. BEAL
  • NPI Number: 1699168708
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2019899
LAB Type Physician Office
Facility Name ST JOHNS INTERNAL MEDICINE PC
Street 110 W HIGHAM ST
City SAINT JOHNS
State MI
ZIP 48879
Phone 989 224-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director CHRISTOPHER T. BEAL

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