23D2151292 CLIA NUMBER - MOBICARE, LLC

Laboratory Demographics

CLIA Number: 23D2151292

Facility Name: MOBICARE, LLC

Facility Address:
605 S LAPEER ROAD SUITE D
OXFORD, MI
ZIP 48371
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Facility Phone Number: 248 274-6066

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750876173

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	23D2151292
LAB Type	Physician Office
Facility Name	MOBICARE, LLC
Street	605 S LAPEER ROAD SUITE D
City	OXFORD
State	MI
ZIP	48371
Phone	248 274-6066
CertificateType	4
CertificateEffectiveDate	6/17/2022
CertificateExpirationDate	6/16/2024
FacilityType	Waiver

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