23D2114067 CLIA NUMBER - DBMJ REHABILITATION SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 23D2114067
  • Facility Name: DBMJ REHABILITATION SERVICES PLLC
  • Facility Address: 3988 W ROYAL DRIVE
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 935-0870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES R. MAC KENZIE
  • NPI Number: 1841305513
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2114067
LAB Type Physician Office
Facility Name DBMJ REHABILITATION SERVICES PLLC
Street 3988 W ROYAL DRIVE
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 935-0870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director JAMES R. MAC KENZIE

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