23D2218920 CLIA NUMBER - VITALITY MED PLLC DBA PUTNAM FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2218920
  • Facility Name: VITALITY MED PLLC DBA PUTNAM FAMILY MEDICINE
  • Facility Address: 1800 W CARO ROAD SUITE V I
    CARO, MI
    ZIP 48723
  • Facility Phone: 989 673-6144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLAKE A. PUTNAM
  • NPI Number: 1043806730
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2218920
LAB Type Physician Office
Facility Name VITALITY MED PLLC DBA PUTNAM FAMILY MEDICINE
Street 1800 W CARO ROAD SUITE V I
City CARO
State MI
ZIP 48723
Phone 989 673-6144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director BLAKE A. PUTNAM

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