23D0988497 CLIA NUMBER - WYOMING VA HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 23D0988497

Facility Name: WYOMING VA HEALTH CARE CENTER

Facility Address:
5838 METRO WAY SW
WYOMING, MI
ZIP 49519
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Facility Phone Number: 616 365-9575

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1114966256

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0988497
LAB Type	Community Clinic
Facility Name	WYOMING VA HEALTH CARE CENTER
Street	5838 METRO WAY SW
City	WYOMING
State	MI
ZIP	49519
Phone	616 365-9575
CertificateType	1
CertificateEffectiveDate	6/28/2001
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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