23D1053006 CLIA NUMBER - SURGERY CENTER AT HEALTH PARK

Laboratory Demographics

CLIA Number: 23D1053006

Facility Name: SURGERY CENTER AT HEALTH PARK

Facility Address:
600 HEALTH PARK BLVD SUITE A
GRAND BLANC, MI
ZIP 48439
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Facility Phone Number: 810 603-8200

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1396793790

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 23D1053006
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER AT HEALTH PARK
Street 600 HEALTH PARK BLVD SUITE A
City GRAND BLANC
State MI
ZIP 48439
Phone 810 603-8200
CertificateType 4
CertificateEffectiveDate 4/11/2024
CertificateExpirationDate 4/10/2026
FacilityType Waiver

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