23D0925383 CLIA NUMBER - HEART OF THE CITY ADULT MEDICINE

Laboratory Demographics

CLIA Number: 23D0925383

Facility Name: HEART OF THE CITY ADULT MEDICINE

Facility Address:
100 CHERRY STREET SE
GRAND RAPIDS, MI
ZIP 49503
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Facility Phone Number: 616 295-7750

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1720375157

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	23D0925383
LAB Type	Federally Qualified Health Center
Facility Name	HEART OF THE CITY ADULT MEDICINE
Street	100 CHERRY STREET SE
City	GRAND RAPIDS
State	MI
ZIP	49503
Phone	616 295-7750
CertificateType	3
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	PPMP

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