23D2317543 CLIA NUMBER - DECKERVILLE MEDICAL OFFICE BUILDING

Laboratory Demographics

  • CLIA Code: 23D2317543
  • Facility Name: DECKERVILLE MEDICAL OFFICE BUILDING
  • Facility Address: 2030 BLACK RIVER STREET
    DECKERVILLE, MI
    ZIP 48427
  • Facility Phone: 810 376-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE KRAMER HARRINGTON
  • NPI Number: 1790448801
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2317543
LAB Type Physician Office
Facility Name DECKERVILLE MEDICAL OFFICE BUILDING
Street 2030 BLACK RIVER STREET
City DECKERVILLE
State MI
ZIP 48427
Phone 810 376-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MELANIE KRAMER HARRINGTON

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