Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D2049288
|
|
Clinical laboratory number
|
|
Lab Name
|
BEACON MEDICAL GROUP UROGYNECOLOGY AND GYNECOLOGY
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
574-367-3800
|
|
Laboratory telephone number
|
|
Fax
|
574-367-3801
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
100 NAVARRE PL STE 4470
|
|
Primary location adress line
|
|
City
|
SOUTH BEND
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46601
|
|
Primary location postal code
|