23D2138273 CLIA NUMBER - WEST MICHIGAN SURGICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 23D2138273

Facility Name: WEST MICHIGAN SURGICAL CENTER, LLC

Facility Address:
8300 LOGISTICS DR
ZEELAND, MI
ZIP 49464
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Facility Phone Number: 313 647-1834

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1568981975

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2138273
LAB Type	Ambulatory Surgery Center
Facility Name	WEST MICHIGAN SURGICAL CENTER, LLC
Street	8300 LOGISTICS DR
City	ZEELAND
State	MI
ZIP	49464
Phone	313 647-1834
CertificateType	4
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	Waiver

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