23D0716892 CLIA NUMBER - COMPASSUS AAH OF MICHIGAN IV LLC

Laboratory Demographics

CLIA Number: 23D0716892

Facility Name: COMPASSUS AAH OF MICHIGAN IV LLC

Facility Address:
5445 ALI DRIVE DEPT 600
GRAND BLANC, MI
ZIP 48439
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Facility Phone Number: 810 344-8396

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1962019141

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	23D0716892
LAB Type	Hospice
Facility Name	COMPASSUS AAH OF MICHIGAN IV LLC
Street	5445 ALI DRIVE DEPT 600
City	GRAND BLANC
State	MI
ZIP	48439
Phone	810 344-8396
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