23D2025104 CLIA NUMBER - EDWIN L DELANGE DO PC

Laboratory Demographics

  • CLIA Code: 23D2025104
  • Facility Name: EDWIN L DELANGE DO PC
  • Facility Address: 3273 DAVISON ROAD SUITE 2
    LAPEER, MI
    ZIP 48446
  • Facility Phone: 810 667-8840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN L. DELANGE
  • NPI Number: 1073510723
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2025104
LAB Type Physician Office
Facility Name EDWIN L DELANGE DO PC
Street 3273 DAVISON ROAD SUITE 2
City LAPEER
State MI
ZIP 48446
Phone 810 667-8840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2023
Certificate Expiration Date 6/1/2025
Facility Type Physician Office
Lab Director EDWIN L. DELANGE

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This page was last updated on: 3/20/2025