23D2087500 CLIA NUMBER - MCLAREN CENTRAL MICHIGAN DBA MBR - AU GRES FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 23D2087500

Facility Name: MCLAREN CENTRAL MICHIGAN DBA MBR - AU GRES FAMILY MEDICINE

Facility Address:
401 E HURON ROAD
AU GRES, MI
ZIP 48703
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Facility Phone Number: 989 532-4100

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1841812989

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2087500
LAB Type	Rural Health Clinic
Facility Name	MCLAREN CENTRAL MICHIGAN DBA MBR - AU GRES FAMILY MEDICINE
Street	401 E HURON ROAD
City	AU GRES
State	MI
ZIP	48703
Phone	989 532-4100
CertificateType	4
CertificateEffectiveDate	11/25/2022
CertificateExpirationDate	11/24/2024
FacilityType	Waiver

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