23D2119278 CLIA NUMBER - MEMORIAL HEALTHCARE DIABETES AND ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 23D2119278
  • Facility Name: MEMORIAL HEALTHCARE DIABETES AND ENDOCRINOLOGY
  • Facility Address: 802 W KING STREET SUITE E
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 729-4131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD O. DAOUD
  • NPI Number: 1609073709
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D2119278
LAB Type Physician Office
Facility Name MEMORIAL HEALTHCARE DIABETES AND ENDOCRINOLOGY
Street 802 W KING STREET SUITE E
City OWOSSO
State MI
ZIP 48867
Phone 989 729-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director MOHAMMAD O. DAOUD

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