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23D1054909 CLIA NUMBER - IMMUCOR GTI DIAGNOSTICS, INC DBA IMMUCOR DX

Laboratory Demographics

CLIA Number: 23D1054909

Facility Name: IMMUCOR GTI DIAGNOSTICS, INC DBA IMMUCOR DX

Facility Address:
301 MICHIGAN STREET NE SUITE 577
GRAND RAPIDS, MI
ZIP 49503
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Facility Phone Number: 616 284-3818

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1669840674

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 23D1054909
LAB Type Independent
Facility Name IMMUCOR GTI DIAGNOSTICS, INC DBA IMMUCOR DX
Street 301 MICHIGAN STREET NE SUITE 577
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 284-3818
CertificateType 1
CertificateEffectiveDate 12/28/2023
CertificateExpirationDate 12/27/2025
FacilityType Accreditation

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