23D0955847 CLIA NUMBER - BEACON HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 23D0955847
  • Facility Name: BEACON HOME CARE, LLC
  • Facility Address: 415 QUAY STREET
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 966-3480
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMARA L. WEBER
  • NPI Number: 1871542100
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D0955847
LAB Type Home Health Agency
Facility Name BEACON HOME CARE, LLC
Street 415 QUAY STREET
City PORT HURON
State MI
ZIP 48060
Phone 810 966-3480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Home Health Agency
Lab Director TAMARA L. WEBER

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