BLUE WATER URGENT CARE PORT HURON
NPI 1548957707
Clinic/Center - Urgent Care in Port Huron, MI
About Blue Water Urgent Care Port Huron NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE WATER URGENT CARE PORT HURON (NPI 1548957707) is a healthcare organization registered as an urgent care in Port Huron, Michigan and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Ibrahim Dabaja, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2282143
- Facility Type
- Physician Office
- Certificate Effective Date
- May 17, 2025
- Certificate Expiration Date
- May 16, 2027
- Laboratory Director
- IBRAHIM H. DABAJA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blue Water Urgent Care Port Huron to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548957707, enumerated as an "organization" on April 19, 2023.
The provider is located at 1612 10TH AVE PORT HURON, MI 48060 and the phone number is (810) 660-0242.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
