23D0692303 CLIA NUMBER - ASCENSION BORGESS DBA PLAINWELL AREA EMS

Laboratory Demographics

CLIA Number: 23D0692303

Facility Name: ASCENSION BORGESS DBA PLAINWELL AREA EMS

Facility Address:
413 NAOMI STREET
PLAINWELL, MI
ZIP 49080
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Facility Phone Number: 269 685-0880

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1144275934

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0692303
LAB Type	Other
Facility Name	ASCENSION BORGESS DBA PLAINWELL AREA EMS
Street	413 NAOMI STREET
City	PLAINWELL
State	MI
ZIP	49080
Phone	269 685-0880
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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