23D2136298 CLIA NUMBER - OKEMOS ALLERGY CENTER PC

Laboratory Demographics

  • CLIA Code: 23D2136298
  • Facility Name: OKEMOS ALLERGY CENTER PC
  • Facility Address: 3955 OKEMOS ROAD SUITE A1
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 349-0027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOJ MOHAN
  • NPI Number: 1326048885
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 23D2136298
LAB Type Physician Office
Facility Name OKEMOS ALLERGY CENTER PC
Street 3955 OKEMOS ROAD SUITE A1
City OKEMOS
State MI
ZIP 48864
Phone 517 349-0027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director MANOJ MOHAN

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