Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
23D2029984
|
|
Clinical laboratory number
|
|
Lab Name
|
GRACE HOSPICE OF GRAND RAPIDS LLC
|
|
Laboratory Name
|
|
Lab Type
|
Hospice
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
616-432-2050
|
|
Laboratory telephone number
|
|
Fax
|
855-618-6652
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4595 BROADMOOR AVENUE SE SUITE 130
|
|
Primary location adress line
|
|
City
|
KENTWOOD
|
|
Primary location city name
|
|
State
|
MI
|
|
Primary location state name
|
|
Zip
|
49512-5300
|
|
Primary location postal code
|