23D2314384 CLIA NUMBER - JACKSON CARDIOLOGY CONSULTANTS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2314384
  • Facility Name: JACKSON CARDIOLOGY CONSULTANTS, PLLC
  • Facility Address: 214 N WEST AVENUE SUITE C
    JACKSON, MI
    ZIP 49201
  • Facility Phone: 517 787-3577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAREQ A. BAGHAL
  • NPI Number: 1841200722
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2314384
LAB Type Physician Office
Facility Name JACKSON CARDIOLOGY CONSULTANTS, PLLC
Street 214 N WEST AVENUE SUITE C
City JACKSON
State MI
ZIP 49201
Phone 517 787-3577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director TAREQ A. BAGHAL

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