23D0380673 CLIA NUMBER - BORN CLINIC, P C

Laboratory Demographics

  • CLIA Code: 23D0380673
  • Facility Name: BORN CLINIC, P C
  • Facility Address: 3700 52ND STREET SE
    GRAND RAPIDS, MI
    ZIP 49512
  • Facility Phone: 616 656-3700
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JILL MOSELEY
  • NPI Number: 1881695484
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0380673
LAB Type Physician Office
Facility Name BORN CLINIC, P C
Street 3700 52ND STREET SE
City GRAND RAPIDS
State MI
ZIP 49512
Phone 616 656-3700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JILL MOSELEY

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