23D1053008 CLIA NUMBER - CENTER FOR GASTROINTESTINAL HEALTH,THE AT HEALTH PARK DBA HEALTH PARK ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 23D1053008
  • Facility Name: CENTER FOR GASTROINTESTINAL HEALTH,THE AT HEALTH PARK DBA HEALTH PARK ENDOSCOPY
  • Facility Address: 600 HEALTH PARK BLVD SUITE E
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 603-8210
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MONTANA D. DICKERSON
  • NPI Number: 1689043895
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D1053008
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR GASTROINTESTINAL HEALTH,THE AT HEALTH PARK DBA HEALTH PARK ENDOSCOPY
Street 600 HEALTH PARK BLVD SUITE E
City GRAND BLANC
State MI
ZIP 48439
Phone 810 603-8210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Ambulatory Surgery Center
Lab Director MONTANA D. DICKERSON

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