23D2254331 CLIA NUMBER - KENNETH VOBACH, MD

Laboratory Demographics

CLIA Number: 23D2254331

Facility Name: KENNETH VOBACH, MD

Facility Address:
110 E THIRD STREET
DAVISON, MI
ZIP 48423
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Facility Phone Number: 810 412-5437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174511125

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	23D2254331
LAB Type	Physician Office
Facility Name	KENNETH VOBACH, MD
Street	110 E THIRD STREET
City	DAVISON
State	MI
ZIP	48423
Phone	810 412-5437
CertificateType	4
CertificateEffectiveDate	3/2/2024
CertificateExpirationDate	3/1/2026
FacilityType	Waiver

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