23D1076436 CLIA NUMBER - HELEN NEWBERRY JOY HOSPITAL FAMILY CLINIC

Laboratory Demographics

CLIA Number: 23D1076436

Facility Name: HELEN NEWBERRY JOY HOSPITAL FAMILY CLINIC

Facility Address:
502 W HARRIE ST
NEWBERRY, MI
ZIP 49868
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Facility Phone Number: 906 293-9189

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1164016754

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1076436
LAB Type	Other - CLINIC
Facility Name	HELEN NEWBERRY JOY HOSPITAL FAMILY CLINIC
Street	502 W HARRIE ST
City	NEWBERRY
State	MI
ZIP	49868
Phone	906 293-9189
CertificateType	4
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Waiver

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