23D2118419 CLIA NUMBER - SMG WILLIAMSTON

Laboratory Demographics

CLIA Number: 23D2118419

Facility Name: SMG WILLIAMSTON

Facility Address:
301 WILLIAMSTON CENTER ROAD
WILLIAMSTON, MI
ZIP 48895
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Facility Phone Number: 517 655-5977

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205285335

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	23D2118419
LAB Type	Physician Office
Facility Name	SMG WILLIAMSTON
Street	301 WILLIAMSTON CENTER ROAD
City	WILLIAMSTON
State	MI
ZIP	48895
Phone	517 655-5977
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

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