23D2286982 CLIA NUMBER - MYMICHIGAN HEALTH - CONTINUING CARE CLINIC

Laboratory Demographics

CLIA Number: 23D2286982

Facility Name: MYMICHIGAN HEALTH - CONTINUING CARE CLINIC

Facility Address:
555 W WACKERLY STREET SUITE 600
MIDLAND, MI
ZIP 48640
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Facility Phone Number: 989 488-5235

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477503852

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	23D2286982
LAB Type	Physician Office
Facility Name	MYMICHIGAN HEALTH - CONTINUING CARE CLINIC
Street	555 W WACKERLY STREET SUITE 600
City	MIDLAND
State	MI
ZIP	48640
Phone	989 488-5235
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

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