15D2185692 CLIA NUMBER - GRACE MIDWIFERY

Laboratory Demographics

CLIA Number: 15D2185692

Facility Name: GRACE MIDWIFERY

Facility Address:
524 W HOOSIER ST
BERNE, IN
ZIP 46711
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Facility Phone Number: 260 216-5690

Facility Type: Other - BIRTH CENTER

Certificate Type: Waiver

NPI Number: 1811577083

Taxonomy: 261QB0400X - Clinic/Center
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

CLIA Record

Field Name	Field Value
CLIA Number	15D2185692
LAB Type	Other - BIRTH CENTER
Facility Name	GRACE MIDWIFERY
Street	524 W HOOSIER ST
City	BERNE
State	IN
ZIP	46711
Phone	260 216-5690
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024