Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
23D2310894
|
|
Clinical laboratory number
|
|
Lab Name
|
PASADENA VILLA - GREAT LAKES
|
|
Laboratory Name
|
|
Lab Type
|
Other - RESIDENTIAL TREATMENT
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
269-400-9790
|
|
Laboratory telephone number
|
|
Fax
|
269-234-7061
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
393 E ROOSEVELT AVENUE
|
|
Primary location adress line
|
|
City
|
BATTLE CREEK
|
|
Primary location city name
|
|
State
|
MI
|
|
Primary location state name
|
|
Zip
|
49017
|
|
Primary location postal code
|