23D2263858 CLIA NUMBER - S M G OWOSSO

Laboratory Demographics

  • CLIA Code: 23D2263858
  • Facility Name: S M G OWOSSO
  • Facility Address: 1457 M-52 UNIT 2
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 723-8463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA M. HAMOUD
  • NPI Number: 1679636641
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2263858
LAB Type Physician Office
Facility Name S M G OWOSSO
Street 1457 M-52 UNIT 2
City OWOSSO
State MI
ZIP 48867
Phone 989 723-8463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director JOSHUA M. HAMOUD

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