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23D2096277 CLIA NUMBER - DECKERVILLE HEALTHCARE SERVICES RHC

Laboratory Demographics

CLIA Number: 23D2096277

Facility Name: DECKERVILLE HEALTHCARE SERVICES RHC

Facility Address:
2433 BLACK RIVER STREET
DECKERVILLE, MI
ZIP 48427
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Facility Phone Number: 810 376-3100

Facility Type: Rural Health Clinic

Certificate Type: Waiver
NPI Number: 1164818977

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 23D2096277
LAB Type Rural Health Clinic
Facility Name DECKERVILLE HEALTHCARE SERVICES RHC
Street 2433 BLACK RIVER STREET
City DECKERVILLE
State MI
ZIP 48427
Phone 810 376-3100
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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