23D2017037 CLIA NUMBER - BAD AXE VA OUTPATIENT CLINIC

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Laboratory Demographics

CLIA Number: 23D2017037

Facility Name: BAD AXE VA OUTPATIENT CLINIC

Facility Address:
1142 S VAN DYKE ROAD
BAD AXE, MI
ZIP 48413
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Facility Phone Number: 989 269-7445

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1588979801

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2017037
LAB Type	Community Clinic
Facility Name	BAD AXE VA OUTPATIENT CLINIC
Street	1142 S VAN DYKE ROAD
City	BAD AXE
State	MI
ZIP	48413
Phone	989 269-7445
CertificateType	1
CertificateEffectiveDate	12/2/2010
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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