23D2179772 CLIA NUMBER - MIO PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D2179772
  • Facility Name: MIO PRIMARY CARE
  • Facility Address: 1321 S MT TOMS ROAD
    MIO, MI
    ZIP 48647
  • Facility Phone: 989 344-5820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGG HANERT
  • NPI Number: 1093349698
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2179772
LAB Type Physician Office
Facility Name MIO PRIMARY CARE
Street 1321 S MT TOMS ROAD
City MIO
State MI
ZIP 48647
Phone 989 344-5820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director GREGG HANERT

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