23D2187598 CLIA NUMBER - BEAUMONT HOME HEALTH AND HOSPICE

Laboratory Demographics

CLIA Number: 23D2187598

Facility Name: BEAUMONT HOME HEALTH AND HOSPICE

Facility Address:
1975 TECHNOLOGY DRIVE SUITE J120
TROY, MI
ZIP 48083
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Facility Phone Number: 248 743-9400

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1851865786

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	23D2187598
LAB Type	Hospice
Facility Name	BEAUMONT HOME HEALTH AND HOSPICE
Street	1975 TECHNOLOGY DRIVE SUITE J120
City	TROY
State	MI
ZIP	48083
Phone	248 743-9400
CertificateType	4
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Waiver

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