36D2263985 CLIA NUMBER - HOMETOWN URGENT CARE OF MICHIGAN PC DBA WELLNOW URGENT CARE

Laboratory Demographics

CLIA Number: 36D2263985

Facility Name: HOMETOWN URGENT CARE OF MICHIGAN PC DBA WELLNOW URGENT CARE

Facility Address:
1451 WEST MAIN ST
TROY, OH
ZIP 45373
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Facility Phone Number: 937 524-2063

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1114957123

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2263985
LAB Type	Other - URGENT CARE
Facility Name	HOMETOWN URGENT CARE OF MICHIGAN PC DBA WELLNOW URGENT CARE
Street	1451 WEST MAIN ST
City	TROY
State	OH
ZIP	45373
Phone	937 524-2063
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

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