23D2292116 CLIA NUMBER - CAPITAL CARDIOLOGY PC

Laboratory Demographics

CLIA Number: 23D2292116

Facility Name: CAPITAL CARDIOLOGY PC

Facility Address:
1200 E MICHIGAN AVENUE SUITE 725
LANSING, MI
ZIP 48912
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Facility Phone Number: 517 364-5599

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710183660

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	23D2292116
LAB Type	Physician Office
Facility Name	CAPITAL CARDIOLOGY PC
Street	1200 E MICHIGAN AVENUE SUITE 725
City	LANSING
State	MI
ZIP	48912
Phone	517 364-5599
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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