23D2071513 CLIA NUMBER - ST CLAIR OBSTETRICS GYNECOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 23D2071513
  • Facility Name: ST CLAIR OBSTETRICS GYNECOLOGY, PLLC
  • Facility Address: 2603 ELECTRIC AVENUE SUITE 2
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 329-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. BAILEY
  • NPI Number: 1386060168
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2071513
LAB Type Physician Office
Facility Name ST CLAIR OBSTETRICS GYNECOLOGY, PLLC
Street 2603 ELECTRIC AVENUE SUITE 2
City PORT HURON
State MI
ZIP 48060
Phone 810 329-3333
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director DAVID A. BAILEY

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