23D1037189 CLIA NUMBER - BLUE WATER PREGNANCY CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D1037189
  • Facility Name: BLUE WATER PREGNANCY CARE CENTER
  • Facility Address: 1211 GRISWOLD STREET
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 985-4673
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JENNIFER ROSE
  • NPI Number: 1255769345
  • Taxonomy: 385HR2060X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 23D1037189
LAB Type Community Clinic
Facility Name BLUE WATER PREGNANCY CARE CENTER
Street 1211 GRISWOLD STREET
City PORT HURON
State MI
ZIP 48060
Phone 810 985-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Community Clinic
Lab Director JENNIFER ROSE

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