23D2025613 CLIA NUMBER - PAULINE C AQUINO MD

Laboratory Demographics

  • CLIA Code: 23D2025613
  • Facility Name: PAULINE C AQUINO MD
  • Facility Address: 5092 W VIENNA ROAD SUITE G
    CLIO, MI
    ZIP 48420
  • Facility Phone: 810 686-2212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULINE C. AQUINO
  • NPI Number: 1356370407
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2025613
LAB Type Physician Office
Facility Name PAULINE C AQUINO MD
Street 5092 W VIENNA ROAD SUITE G
City CLIO
State MI
ZIP 48420
Phone 810 686-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director PAULINE C. AQUINO

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