23D2103467 CLIA NUMBER - MCLAREN BAY REGION - GLADWIN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2103467
  • Facility Name: MCLAREN BAY REGION - GLADWIN FAMILY MEDICINE
  • Facility Address: 2137 W M-61
    GLADWIN, MI
    ZIP 48624
  • Facility Phone: 989 426-0810
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MANDHIR JAMWAL
  • NPI Number: 1841812989
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2103467
LAB Type Rural Health Clinic
Facility Name MCLAREN BAY REGION - GLADWIN FAMILY MEDICINE
Street 2137 W M-61
City GLADWIN
State MI
ZIP 48624
Phone 989 426-0810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Rural Health Clinic
Lab Director MANDHIR JAMWAL

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