23D2026593 CLIA NUMBER - INDIAN RIVER VA CLINIC

Laboratory Demographics

  • CLIA Code: 23D2026593
  • Facility Name: INDIAN RIVER VA CLINIC
  • Facility Address: 5739 HWY M-68
    INDIAN RIVER, MI
    ZIP 49749
  • Facility Phone: 989 321-4520
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YASEEN MOHIUDDIN
  • NPI Number: 1326329962
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2026593
LAB Type Community Clinic
Facility Name INDIAN RIVER VA CLINIC
Street 5739 HWY M-68
City INDIAN RIVER
State MI
ZIP 49749
Phone 989 321-4520
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 7/6/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director YASEEN MOHIUDDIN

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