23D0884303 CLIA NUMBER - SURGICAL CARE CENTER OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D0884303
  • Facility Name: SURGICAL CARE CENTER OF MICHIGAN
  • Facility Address: 750 EAST BELTLINE NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Facility Phone: 877 959-3802
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE P. KILGORE
  • NPI Number: 1700967106
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Ambulatory Surgery Center
Lab Director KRISTINE P. KILGORE

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