23D2079475 CLIA NUMBER - MEMORIAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2079475
  • Facility Name: MEMORIAL FAMILY MEDICINE
  • Facility Address: 100 HEALTH PARK DRIVE, SUITE 101
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 729-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL VORENKAMP
  • NPI Number: 1114040813
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2079475
LAB Type Physician Office
Facility Name MEMORIAL FAMILY MEDICINE
Street 100 HEALTH PARK DRIVE, SUITE 101
City OWOSSO
State MI
ZIP 48867
Phone 989 729-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director CAROL VORENKAMP

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