23D2095713 CLIA NUMBER - MONTCALM CENTER FOR BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 23D2095713
  • Facility Name: MONTCALM CENTER FOR BEHAVIORAL HEALTH
  • Facility Address: 611 N STATE STREET
    STANTON, MI
    ZIP 48888
  • Facility Phone: 989 831-7527
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JULIANNA M. KOZARA
  • NPI Number: 1326077330
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 23D2095713
LAB Type Practitioner Other
Facility Name MONTCALM CENTER FOR BEHAVIORAL HEALTH
Street 611 N STATE STREET
City STANTON
State MI
ZIP 48888
Phone 989 831-7527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Practitioner Other
Lab Director JULIANNA M. KOZARA

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