23D2022184 CLIA NUMBER - MEDICAL PLAZA DIAGNOSTIC LLC

Laboratory Demographics

CLIA Number: 23D2022184

Facility Name: MEDICAL PLAZA DIAGNOSTIC LLC

Facility Address:
3271 CARLETON ROAD
HILLSDALE, MI
ZIP 49242
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Facility Phone Number: 517 437-3879

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235553025

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 23D2022184
LAB Type Physician Office
Facility Name MEDICAL PLAZA DIAGNOSTIC LLC
Street 3271 CARLETON ROAD
City HILLSDALE
State MI
ZIP 49242
Phone 517 437-3879
CertificateType 4
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Waiver

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