23D2044158 CLIA NUMBER - MICHIGAN NEUROLOGY AND SPINE CENTER LAB

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Laboratory Demographics

CLIA Number: 23D2044158

Facility Name: MICHIGAN NEUROLOGY AND SPINE CENTER LAB

Facility Address:
1103 SEVENTH STREET
PORT HURON, MI
ZIP 48060
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Facility Phone Number: 810 989-0000

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1851748305

Taxonomy: 225700000X - Massage Therapist
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

CLIA Record

Field Name	Field Value
CLIA Number	23D2044158
LAB Type	Physician Office
Facility Name	MICHIGAN NEUROLOGY AND SPINE CENTER LAB
Street	1103 SEVENTH STREET
City	PORT HURON
State	MI
ZIP	48060
Phone	810 989-0000
CertificateType	1
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Accreditation

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