23D2234396 CLIA NUMBER - EMERGENCY CARE SPECIALISTS, P C

Laboratory Demographics

CLIA Number: 23D2234396

Facility Name: EMERGENCY CARE SPECIALISTS, P C

Facility Address:
4100 EMBASSY DRIVE SE SUITE 400
GRAND RAPIDS, MI
ZIP 49546
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Facility Phone Number: 616 988-8233

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1497820526

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	23D2234396
LAB Type	Mobile Laboratory
Facility Name	EMERGENCY CARE SPECIALISTS, P C
Street	4100 EMBASSY DRIVE SE SUITE 400
City	GRAND RAPIDS
State	MI
ZIP	49546
Phone	616 988-8233
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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