23D2172162 CLIA NUMBER - JUDSON CENTER PRIMARY HEALTH CARE CLINIC

Laboratory Demographics

  • CLIA Code: 23D2172162
  • Facility Name: JUDSON CENTER PRIMARY HEALTH CARE CLINIC
  • Facility Address: 12200 E 13 MILE ROAD SUITE 200
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 573-1810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERRY SILWANOWICZ
  • NPI Number: 1396217600
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2172162
LAB Type Physician Office
Facility Name JUDSON CENTER PRIMARY HEALTH CARE CLINIC
Street 12200 E 13 MILE ROAD SUITE 200
City WARREN
State MI
ZIP 48093
Phone 586 573-1810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director SHERRY SILWANOWICZ

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