23D2097855 CLIA NUMBER - MICHIGAN VASCULAR CENTER - LAPEER

Laboratory Demographics

  • CLIA Code: 23D2097855
  • Facility Name: MICHIGAN VASCULAR CENTER - LAPEER
  • Facility Address: 1122 S LAPEER ROAD
    LAPEER, MI
    ZIP 48446
  • Facility Phone: 810 272-3880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY PAAVOLA
  • NPI Number: 1124411244
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2097855
LAB Type Physician Office
Facility Name MICHIGAN VASCULAR CENTER - LAPEER
Street 1122 S LAPEER ROAD
City LAPEER
State MI
ZIP 48446
Phone 810 272-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director GARY PAAVOLA

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