23D2027177 CLIA NUMBER - PECK MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 23D2027177
  • Facility Name: PECK MEDICAL CENTER
  • Facility Address: 251 E PECK ROAD
    PECK, MI
    ZIP 48466
  • Facility Phone: 810 378-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY M. COPLIN
  • NPI Number: 1437917598
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2027177
LAB Type Physician Office
Facility Name PECK MEDICAL CENTER
Street 251 E PECK ROAD
City PECK
State MI
ZIP 48466
Phone 810 378-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director BRADLEY M. COPLIN

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