23D2232546 CLIA NUMBER - NORTHVIEW HEALTH SPECIALISTS, PLLC

Laboratory Demographics

CLIA Number: 23D2232546

Facility Name: NORTHVIEW HEALTH SPECIALISTS, PLLC

Facility Address:
770 KENMOOR AVE SE SUITE 100
GRAND RAPIDS, MI
ZIP 49546
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Facility Phone Number: 616 272-3533

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629558978

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D2232546
LAB Type	Physician Office
Facility Name	NORTHVIEW HEALTH SPECIALISTS, PLLC
Street	770 KENMOOR AVE SE SUITE 100
City	GRAND RAPIDS
State	MI
ZIP	49546
Phone	616 272-3533
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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