23D2154363 CLIA NUMBER - JILL PAVELIO MD PLC

Laboratory Demographics

  • CLIA Code: 23D2154363
  • Facility Name: JILL PAVELIO MD PLC
  • Facility Address: 5560 GRATIOT SUITE B
    SAGINAW, MI
    ZIP 48638
  • Facility Phone: 989 558-0050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JILL M. PAVEGLIO
  • NPI Number: 1730669151
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2154363
LAB Type Physician Office
Facility Name JILL PAVELIO MD PLC
Street 5560 GRATIOT SUITE B
City SAGINAW
State MI
ZIP 48638
Phone 989 558-0050
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director JILL M. PAVEGLIO

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