23D2318479 CLIA NUMBER - DRC CLOUD CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D2318479
  • Facility Name: DRC CLOUD CARE PLLC
  • Facility Address: 3701 PORT AUSTIN ROAD
    PORT AUSTIN, MI
    ZIP 48467
  • Facility Phone: 989 447-0309
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES CHRISTENSEN
  • NPI Number: 1013732577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2318479
LAB Type Physician Office
Facility Name DRC CLOUD CARE PLLC
Street 3701 PORT AUSTIN ROAD
City PORT AUSTIN
State MI
ZIP 48467
Phone 989 447-0309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director CHARLES CHRISTENSEN

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