23D0884303 CLIA NUMBER - SURGICAL CARE CENTER OF MICHIGAN

Laboratory Demographics

CLIA Number: 23D0884303

Facility Name: SURGICAL CARE CENTER OF MICHIGAN

Facility Address:
750 EAST BELTLINE NE
GRAND RAPIDS, MI
ZIP 49525
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Facility Phone Number: 877 959-3802

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1700967106

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0884303
LAB Type	Ambulatory Surgery Center
Facility Name	SURGICAL CARE CENTER OF MICHIGAN
Street	750 EAST BELTLINE NE
City	GRAND RAPIDS
State	MI
ZIP	49525
Phone	877 959-3802
CertificateType	4
CertificateEffectiveDate	3/29/2024
CertificateExpirationDate	3/28/2026
FacilityType	Waiver

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