23D1060741 CLIA NUMBER - CITY ON A HILL MINISTRIES HEALTH CLINIC

Laboratory Demographics

CLIA Number: 23D1060741

Facility Name: CITY ON A HILL MINISTRIES HEALTH CLINIC

Facility Address:
100 S PINE SUITE 140
ZEELAND, MI
ZIP 49464
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Facility Phone Number: 616 748-6009

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1902460256

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	23D1060741
LAB Type	Community Clinic
Facility Name	CITY ON A HILL MINISTRIES HEALTH CLINIC
Street	100 S PINE SUITE 140
City	ZEELAND
State	MI
ZIP	49464
Phone	616 748-6009
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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