23D0977464 CLIA NUMBER - SWEETWATER MEDICAL CENTER

Laboratory Demographics

CLIA Number: 23D0977464

Facility Name: SWEETWATER MEDICAL CENTER

Facility Address:
322 E WRIGHT AVENUE
SHEPHERD, MI
ZIP 48883
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Facility Phone Number: 989 828-4614

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043720253

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	23D0977464
LAB Type	Physician Office
Facility Name	SWEETWATER MEDICAL CENTER
Street	322 E WRIGHT AVENUE
City	SHEPHERD
State	MI
ZIP	48883
Phone	989 828-4614
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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