23D2096277 CLIA NUMBER - DECKERVILLE HEALTHCARE SERVICES RHC

Laboratory Demographics

  • CLIA Code: 23D2096277
  • Facility Name: DECKERVILLE HEALTHCARE SERVICES RHC
  • Facility Address: 2030 BLACK RIVER STREET
    DECKERVILLE, MI
    ZIP 48427
  • Facility Phone: 810 376-2885
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NICK BUTTAR
  • NPI Number: 1164818977
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2096277
LAB Type Rural Health Clinic
Facility Name DECKERVILLE HEALTHCARE SERVICES RHC
Street 2030 BLACK RIVER STREET
City DECKERVILLE
State MI
ZIP 48427
Phone 810 376-2885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Rural Health Clinic
Lab Director NICK BUTTAR

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