23D2028849 CLIA NUMBER - INDEPENDENCE URGENT CARE

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Laboratory Demographics

CLIA Number: 23D2028849

Facility Name: INDEPENDENCE URGENT CARE

Facility Address:
7192 N MAIN STREET
CLARKSTON, MI
ZIP 48346
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Facility Phone Number: 248 384-8600

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1215269618

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2028849
LAB Type	Other - URGENT CARE
Facility Name	INDEPENDENCE URGENT CARE
Street	7192 N MAIN STREET
City	CLARKSTON
State	MI
ZIP	48346
Phone	248 384-8600
CertificateType	4
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Waiver

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