23D2294275 CLIA NUMBER - ASCENSION BORGESS DIABETES AND ENDOCRINE CENTER - ALLEGAN

Laboratory Demographics

CLIA Number: 23D2294275

Facility Name: ASCENSION BORGESS DIABETES AND ENDOCRINE CENTER - ALLEGAN

Facility Address:
551 LINN STREET SUITE 247
ALLEGAN, MI
ZIP 49010
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Facility Phone Number: 269 226-8321

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336212109

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2294275
LAB Type	Physician Office
Facility Name	ASCENSION BORGESS DIABETES AND ENDOCRINE CENTER - ALLEGAN
Street	551 LINN STREET SUITE 247
City	ALLEGAN
State	MI
ZIP	49010
Phone	269 226-8321
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

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