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23D0695193 CLIA NUMBER - COREWELL HEALTH - PEDIATRICS - 1545 68TH ST SE

Laboratory Demographics

CLIA Number: 23D0695193

Facility Name: COREWELL HEALTH - PEDIATRICS - 1545 68TH ST SE

Facility Address:
1545 68TH STREET SE SUITE 100
GRAND RAPIDS, MI
ZIP 49508
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Facility Phone Number: 616 267-7881

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1730773391

Taxonomy: 104100000X - Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

CLIA Record

Field Name Field Value
CLIA Number 23D0695193
LAB Type Physician Office
Facility Name COREWELL HEALTH - PEDIATRICS - 1545 68TH ST SE
Street 1545 68TH STREET SE SUITE 100
City GRAND RAPIDS
State MI
ZIP 49508
Phone 616 267-7881
CertificateType 4
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType Waiver

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