23D2225910 CLIA NUMBER - GET WELL URGENT CARE SOUTHGATE PLC

Laboratory Demographics

CLIA Number: 23D2225910

Facility Name: GET WELL URGENT CARE SOUTHGATE PLC

Facility Address:
15830 FORT STREET SUITE 1
SOUTHGATE, MI
ZIP 48195
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Facility Phone Number: 734 282-5444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235722430

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2225910
LAB Type	Physician Office
Facility Name	GET WELL URGENT CARE SOUTHGATE PLC
Street	15830 FORT STREET SUITE 1
City	SOUTHGATE
State	MI
ZIP	48195
Phone	734 282-5444
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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