23D2296976 CLIA NUMBER - INNOVATIVE WOUND CARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 23D2296976
  • Facility Name: INNOVATIVE WOUND CARE SPECIALISTS
  • Facility Address: 5054 W BRISTOL ROAD
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 600-2030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH JACOT
  • NPI Number: 1154198331
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2296976
LAB Type Physician Office
Facility Name INNOVATIVE WOUND CARE SPECIALISTS
Street 5054 W BRISTOL ROAD
City FLINT
State MI
ZIP 48507
Phone 810 600-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director JOSEPH JACOT

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