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

Laboratory Demographics

  • CLIA Code: 23D2171846
  • Facility Name: MGL EATON RAPIDS WOMEN'S HEALTH
  • Facility Address: 1501 KYLE STREET
    EATON RAPIDS, MI
    ZIP 48827
  • Facility Phone: 517 233-0170
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SANDRA K. RUSSELL
  • NPI Number: 1306467238
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Rural Health Clinic
Lab Director SANDRA K. RUSSELL

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This page was last updated on: 9/29/2025