CLIA Code Details

Clinical Laboratory Code : 23d2320620

LENAE E VANWAGNEN MD (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 23D2320620
Clinical laboratory number
Lab Name LENAE E VANWAGNEN MD
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 517-962-0123
Laboratory telephone number
Fax 517-201-8067
Fax number of the provider.

Facility Location

Street Address 1310 GREENWOOD AVENUE
Primary location adress line
City JACKSON
Primary location city name
State MI
Primary location state name
Zip 49203
Primary location postal code

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