23D2071119 CLIA NUMBER - BARRY COMMUNITY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 23D2071119

Facility Name: BARRY COMMUNITY HEALTH CENTER

Facility Address:
200 S BOLTWOOD STREET
HASTINGS, MI
ZIP 49058
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Facility Phone Number: 616 295-7750

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1265862841

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2071119
LAB Type	Federally Qualified Health Center
Facility Name	BARRY COMMUNITY HEALTH CENTER
Street	200 S BOLTWOOD STREET
City	HASTINGS
State	MI
ZIP	49058
Phone	616 295-7750
CertificateType	3
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	PPMP

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