23D2162715 CLIA NUMBER - MIDMICHIGAN GRATIOT CANCER CENTER

Laboratory Demographics

CLIA Number: 23D2162715

Facility Name: MIDMICHIGAN GRATIOT CANCER CENTER

Facility Address:
315 E WARWICK DRIVE SUITE C
ALMA, MI
ZIP 48801
Get Directions

Facility Phone Number: 989 463-9307

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750309209

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	23D2162715
LAB Type	Physician Office
Facility Name	MIDMICHIGAN GRATIOT CANCER CENTER
Street	315 E WARWICK DRIVE SUITE C
City	ALMA
State	MI
ZIP	48801
Phone	989 463-9307
CertificateType	3
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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