23D2268461 CLIA NUMBER - GRETCHENS PLACE

Laboratory Demographics

  • CLIA Code: 23D2268461
  • Facility Name: GRETCHENS PLACE
  • Facility Address: 25 OWEN STREET
    BELLEVILLE, MI
    ZIP 48111
  • Facility Phone: 734 325-7856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEODGE HILL
  • NPI Number: 1013537802
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2268461
LAB Type Physician Office
Facility Name GRETCHENS PLACE
Street 25 OWEN STREET
City BELLEVILLE
State MI
ZIP 48111
Phone 734 325-7856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director DEODGE HILL

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This page was last updated on: 9/29/2025