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23D2119273 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS

Laboratory Demographics

CLIA Number: 23D2119273

Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS

Facility Address:
2144 E PARIS AVENUE SE SUITE 200
GRAND RAPIDS, MI
ZIP 49546
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Facility Phone Number: 616 685-2100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1083239974

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 23D2119273
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS
Street 2144 E PARIS AVENUE SE SUITE 200
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 685-2100
CertificateType 4
CertificateEffectiveDate 4/25/2024
CertificateExpirationDate 4/24/2026
FacilityType Waiver

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