23D2171846 CLIA NUMBER - MGL EATON RAPIDS WOMEN'S HEALTH

Laboratory Demographics

CLIA Number: 23D2171846

Facility Name: MGL EATON RAPIDS WOMEN'S HEALTH

Facility Address:
1501 KYLE STREET
EATON RAPIDS, MI
ZIP 48827
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Facility Phone Number: 517 233-0170

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1306467238

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2171846
LAB Type	Rural Health Clinic
Facility Name	MGL EATON RAPIDS WOMEN'S HEALTH
Street	1501 KYLE STREET
City	EATON RAPIDS
State	MI
ZIP	48827
Phone	517 233-0170
CertificateType	4
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	Waiver

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