23D2251533 CLIA NUMBER - GRATIOT INTEGRATED HEALTH NETWORK

Laboratory Demographics

CLIA Number: 23D2251533

Facility Name: GRATIOT INTEGRATED HEALTH NETWORK

Facility Address:
608 WRIGHT AVENUE
ALMA, MI
ZIP 48801
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Facility Phone Number: 989 463-4971

Facility Type: Other - COMM MENTAL HEALTH

Certificate Type: Waiver

NPI Number: 1710049242

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2251533
LAB Type	Other - COMM MENTAL HEALTH
Facility Name	GRATIOT INTEGRATED HEALTH NETWORK
Street	608 WRIGHT AVENUE
City	ALMA
State	MI
ZIP	48801
Phone	989 463-4971
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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