23D0949869 CLIA NUMBER - RCG ALLEGAN

Laboratory Demographics

CLIA Number: 23D0949869

Facility Name: RCG ALLEGAN

Facility Address:
730 AIRWAY DRIVE
ALLEGAN, MI
ZIP 49010
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Facility Phone Number: 269 673-1700

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1760423628

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0949869
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RCG ALLEGAN
Street	730 AIRWAY DRIVE
City	ALLEGAN
State	MI
ZIP	49010
Phone	269 673-1700
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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