23D2047074 CLIA NUMBER - GRAYLING VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 23D2047074
  • Facility Name: GRAYLING VA OUTPATIENT CLINIC
  • Facility Address: 1680 HARTWICK PINES ROAD
    GRAYLING, MI
    ZIP 49738
  • Facility Phone: 989 321-4520
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YASEEN MOHIUDDIN
  • NPI Number: 1710313648
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 23D2047074
LAB Type Community Clinic
Facility Name GRAYLING VA OUTPATIENT CLINIC
Street 1680 HARTWICK PINES ROAD
City GRAYLING
State MI
ZIP 49738
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 9/18/2012
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