23D2099288 CLIA NUMBER - OUCH URGENT CARE - COMPASS

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Laboratory Demographics

CLIA Number: 23D2099288

Facility Name: OUCH URGENT CARE - COMPASS

Facility Address:
1005 SOUTH US-27 SUITE 200
SAINT JOHNS, MI
ZIP 48879
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Facility Phone Number: 989 224-6897

Facility Type: Other - OUTPATIENT URGENT CARE

Certificate Type: Waiver

NPI Number: 1376925453

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2099288
LAB Type	Other - OUTPATIENT URGENT CARE
Facility Name	OUCH URGENT CARE - COMPASS
Street	1005 SOUTH US-27 SUITE 200
City	SAINT JOHNS
State	MI
ZIP	48879
Phone	989 224-6897
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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