23D2131051 CLIA NUMBER - VALLEY OB GYN CLINIC PC

Laboratory Demographics

CLIA Number: 23D2131051

Facility Name: VALLEY OB GYN CLINIC PC

Facility Address:
975 N MAIN STREET SUITE L
FRANKENMUTH, MI
ZIP 48734
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Facility Phone Number: 989 753-8453

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1144779513

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2131051
LAB Type	Physician Office
Facility Name	VALLEY OB GYN CLINIC PC
Street	975 N MAIN STREET SUITE L
City	FRANKENMUTH
State	MI
ZIP	48734
Phone	989 753-8453
CertificateType	3
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	PPMP

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