23D0892856 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - HART

Laboratory Demographics

CLIA Number: 23D0892856

Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - HART

Facility Address:
611 E MAIN STREET
HART, MI
ZIP 49420
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Facility Phone Number: 231 873-6900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093710675

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 23D0892856
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - HART
Street 611 E MAIN STREET
City HART
State MI
ZIP 49420
Phone 231 873-6900
CertificateType 4
CertificateEffectiveDate 11/5/2023
CertificateExpirationDate 11/4/2025
FacilityType Waiver

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