Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
24D2304517
|
|
Clinical laboratory number
|
|
Lab Name
|
MIDWEST IMMUNOLOGY CLINICS, PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Other - OUT PATIENT INFUSION CTR
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
616-954-0600
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
652 BIELENBERG DRIVE SUITE 101
|
|
Primary location adress line
|
|
City
|
WOODBURY
|
|
Primary location city name
|
|
State
|
MN
|
|
Primary location state name
|
|
Zip
|
55125
|
|
Primary location postal code
|