23D2072024 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONALS, PC

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Laboratory Demographics

CLIA Number: 23D2072024

Facility Name: MICHIGAN HEALTHCARE PROFESSIONALS, PC

Facility Address:
6815 DIXIE HIGHWAY SUITE 100
CLARKSTON, MI
ZIP 48346
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Facility Phone Number: 248 658-7535

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1144774274

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	23D2072024
LAB Type	Physician Office
Facility Name	MICHIGAN HEALTHCARE PROFESSIONALS, PC
Street	6815 DIXIE HIGHWAY SUITE 100
City	CLARKSTON
State	MI
ZIP	48346
Phone	248 658-7535
CertificateType	3
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	PPMP

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