Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
23D2174569
|
|
Clinical laboratory number
|
|
Lab Name
|
QTC MEDICAL GROUP - GRAND RAPIDS
|
|
Laboratory Name
|
|
Lab Type
|
Other - GOVERNMENT CONTRACT
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
616-333-2504
|
|
Laboratory telephone number
|
|
Fax
|
949-892-2803
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4070 LAKE DRIVE SE SUITE 201
|
|
Primary location adress line
|
|
City
|
GRAND RAPIDS
|
|
Primary location city name
|
|
State
|
MI
|
|
Primary location state name
|
|
Zip
|
49546
|
|
Primary location postal code
|