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23D0988684 CLIA NUMBER - GRAND TRAVERSE WOMEN'S CLINIC

Laboratory Demographics

CLIA Number: 23D0988684

Facility Name: GRAND TRAVERSE WOMEN'S CLINIC

Facility Address:
1200 SIXTH STREET SUITE 400
TRAVERSE CITY, MI
ZIP 49684
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Facility Phone Number: 231 392-0650

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1558483362

Taxonomy: 176B00000X - Midwife
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

CLIA Record

Field Name Field Value
CLIA Number 23D0988684
LAB Type Physician Office
Facility Name GRAND TRAVERSE WOMEN'S CLINIC
Street 1200 SIXTH STREET SUITE 400
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 392-0650
CertificateType 3
CertificateEffectiveDate 7/5/2023
CertificateExpirationDate 7/4/2025
FacilityType PPMP

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