23D0872378 CLIA NUMBER - HACKLEY COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 23D0872378
  • Facility Name: HACKLEY COMMUNITY CARE
  • Facility Address: 2700 BAKER STREET
    MUSKEGON HEIGHTS, MI
    ZIP 49444
  • Facility Phone: 231 737-1335
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LESLIE KINGSLEY
  • NPI Number: 1386298552
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0872378
LAB Type Federally Qualified Health Center
Facility Name HACKLEY COMMUNITY CARE
Street 2700 BAKER STREET
City MUSKEGON HEIGHTS
State MI
ZIP 49444
Phone 231 737-1335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Federally Qualified Health Center
Lab Director LESLIE KINGSLEY

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