23D2075439 CLIA NUMBER - MCLAREN BAY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D2075439
  • Facility Name: MCLAREN BAY PRIMARY CARE
  • Facility Address: 4 COLUMBUS AVENUE SUITE 380
    BAY CITY, MI
    ZIP 48708
  • Facility Phone: 989 393-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJESH DANDAMUNDI
  • NPI Number: 1215484522
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2075439
LAB Type Physician Office
Facility Name MCLAREN BAY PRIMARY CARE
Street 4 COLUMBUS AVENUE SUITE 380
City BAY CITY
State MI
ZIP 48708
Phone 989 393-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director RAJESH DANDAMUNDI

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