23D2143082 CLIA NUMBER - SPARROW EATON HOSPITAL

Laboratory Demographics

CLIA Number: 23D2143082

Facility Name: SPARROW EATON HOSPITAL

Facility Address:
1415 S MAIN STREET
EATON RAPIDS, MI
ZIP 48827
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Facility Phone Number: 517 663-4809

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225237613

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	23D2143082
LAB Type	Physician Office
Facility Name	SPARROW EATON HOSPITAL
Street	1415 S MAIN STREET
City	EATON RAPIDS
State	MI
ZIP	48827
Phone	517 663-4809
CertificateType	4
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	Waiver

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