23D2231801 CLIA NUMBER - MECOSTA COUNTY SHERIFF'S OFFICE

Laboratory Demographics

CLIA Number: 23D2231801

Facility Name: MECOSTA COUNTY SHERIFF'S OFFICE

Facility Address:
225 SOUTH STEWART
BIG RAPIDS, MI
ZIP 49307
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Facility Phone Number: 231 592-0150

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1003209255

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	23D2231801
LAB Type	Other - COUNTY JAIL
Facility Name	MECOSTA COUNTY SHERIFF'S OFFICE
Street	225 SOUTH STEWART
City	BIG RAPIDS
State	MI
ZIP	49307
Phone	231 592-0150
CertificateType	4
CertificateEffectiveDate	8/6/2023
CertificateExpirationDate	8/5/2025
FacilityType	Waiver

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