23D2179497 CLIA NUMBER - MICHIGAN ORAL SURGEONS - ADRIAN

Laboratory Demographics

CLIA Number: 23D2179497

Facility Name: MICHIGAN ORAL SURGEONS - ADRIAN

Facility Address:
215 RIVERSIDE AVENUE
ADRIAN, MI
ZIP 49221
Get Directions

Facility Phone Number: 517 265-8051

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1326569260

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	23D2179497
LAB Type	Practitioner Other
Facility Name	MICHIGAN ORAL SURGEONS - ADRIAN
Street	215 RIVERSIDE AVENUE
City	ADRIAN
State	MI
ZIP	49221
Phone	517 265-8051
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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