23D2172162 CLIA NUMBER - JUDSON CENTER PRIMARY HEALTH CARE CLINIC

Laboratory Demographics

CLIA Number: 23D2172162

Facility Name: JUDSON CENTER PRIMARY HEALTH CARE CLINIC

Facility Address:
12200 E 13 MILE ROAD SUITE 200
WARREN, MI
ZIP 48093
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Facility Phone Number: 586 573-1810

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396217600

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 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
CertificateType 4
CertificateEffectiveDate 9/17/2023
CertificateExpirationDate 9/16/2025
FacilityType Waiver

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