23D1074023 CLIA NUMBER - BENTON HARBOR CBOC

Laboratory Demographics

  • CLIA Code: 23D1074023
  • Facility Name: BENTON HARBOR CBOC
  • Facility Address: 115 E MAIN ST
    BENTON HARBOR, MI
    ZIP 49022
  • Facility Phone: 269 934-9123
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: AARON BELKNAP
  • NPI Number: 1144743907
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1074023
LAB Type Community Clinic
Facility Name BENTON HARBOR CBOC
Street 115 E MAIN ST
City BENTON HARBOR
State MI
ZIP 49022
Phone 269 934-9123
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/21/2007
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director AARON BELKNAP

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