23D0704921 CLIA NUMBER - BEAUMONT FAMILY MEDICINE - GARDEN CITY

Laboratory Demographics

CLIA Number: 23D0704921

Facility Name: BEAUMONT FAMILY MEDICINE - GARDEN CITY

Facility Address:
29150 FORD ROAD
GARDEN CITY, MI
ZIP 48135
Get Directions

Facility Phone Number: 734 762-3600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578048096

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0704921
LAB Type	Physician Office
Facility Name	BEAUMONT FAMILY MEDICINE - GARDEN CITY
Street	29150 FORD ROAD
City	GARDEN CITY
State	MI
ZIP	48135
Phone	734 762-3600
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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