23D2162161 CLIA NUMBER - CITYPULSE, PLLC DBA WELLCARE URGENT CARE

Laboratory Demographics

CLIA Number: 23D2162161

Facility Name: CITYPULSE, PLLC DBA WELLCARE URGENT CARE

Facility Address:
6460 28TH STREET SE
GRAND RAPIDS, MI
ZIP 49546
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Facility Phone Number: 616 591-5995

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1770041782

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2162161
LAB Type	Other - URGENT CARE
Facility Name	CITYPULSE, PLLC DBA WELLCARE URGENT CARE
Street	6460 28TH STREET SE
City	GRAND RAPIDS
State	MI
ZIP	49546
Phone	616 591-5995
CertificateType	4
CertificateEffectiveDate	2/19/2023
CertificateExpirationDate	2/18/2025
FacilityType	Waiver

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