23D2105233 CLIA NUMBER - ELIZABETH HOSICK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 23D2105233
  • Facility Name: ELIZABETH HOSICK DIALYSIS CENTER
  • Facility Address: 224 PARK AVENUE
    FRANKFORT, MI
    ZIP 49635
  • Facility Phone: 231 935-4107
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GEORGIA K. WILSON
  • NPI Number: 1952678757
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2105233
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELIZABETH HOSICK DIALYSIS CENTER
Street 224 PARK AVENUE
City FRANKFORT
State MI
ZIP 49635
Phone 231 935-4107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GEORGIA K. WILSON

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