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23D2152678 CLIA NUMBER - MID MICHIGAN MEDICAL CORPORATION PC

Laboratory Demographics

CLIA Number: 23D2152678

Facility Name: MID MICHIGAN MEDICAL CORPORATION PC

Facility Address:
863 N PINE ROAD SUITE F
ESSEXVILLE, MI
ZIP 48732
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Facility Phone Number: 989 895-8514

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1972965473

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 23D2152678
LAB Type Physician Office
Facility Name MID MICHIGAN MEDICAL CORPORATION PC
Street 863 N PINE ROAD SUITE F
City ESSEXVILLE
State MI
ZIP 48732
Phone 989 895-8514
CertificateType 4
CertificateEffectiveDate 8/14/2022
CertificateExpirationDate 8/13/2024
FacilityType Waiver

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