23D2058741 CLIA NUMBER - VICTORY CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 23D2058741
  • Facility Name: VICTORY CLINICAL SERVICES
  • Facility Address: 401 HOWARD STREET
    KALAMAZOO, MI
    ZIP 49001
  • Facility Phone: 269 344-4458
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DAVID BLANKENSHIP
  • NPI Number: 1447383500
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2058741
LAB Type Comp. Outpatient Rehab Facility
Facility Name VICTORY CLINICAL SERVICES
Street 401 HOWARD STREET
City KALAMAZOO
State MI
ZIP 49001
Phone 269 344-4458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DAVID BLANKENSHIP

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