23D0944525 CLIA NUMBER - GRACE HEALTH

Laboratory Demographics

CLIA Number: 23D0944525

Facility Name: GRACE HEALTH

Facility Address:
181 W EMMETT STREET
BATTLE CREEK, MI
ZIP 49017
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Facility Phone Number: 269 441-1952

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1700326204

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0944525
LAB Type	Federally Qualified Health Center
Facility Name	GRACE HEALTH
Street	181 W EMMETT STREET
City	BATTLE CREEK
State	MI
ZIP	49017
Phone	269 441-1952
CertificateType	4
CertificateEffectiveDate	4/16/2024
CertificateExpirationDate	4/15/2026
FacilityType	Waiver

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