23D2299732 CLIA NUMBER - BAZDO MEDICAL PLLC/24 HR LIFELINE MD

Laboratory Demographics

  • CLIA Code: 23D2299732
  • Facility Name: BAZDO MEDICAL PLLC/24 HR LIFELINE MD
  • Facility Address: 12640 12 MILE
    WARREN, MI
    ZIP 48093
  • Facility Phone: 576 751-2020
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BARRY CRAWFORD
  • NPI Number: 1104694306
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2299732
LAB Type Physician Office
Facility Name BAZDO MEDICAL PLLC/24 HR LIFELINE MD
Street 12640 12 MILE
City WARREN
State MI
ZIP 48093
Phone 576 751-2020
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director BARRY CRAWFORD

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