23D0376832 CLIA NUMBER - WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE

Laboratory Demographics

CLIA Number: 23D0376832

Facility Name: WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE

Facility Address:
1717 SHAFFER STREET SUITE 004
KALAMAZOO, MI
ZIP 49048
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Facility Phone Number: 269 337-4264

Facility Type: Other - CLINICAL RESEARCH

Certificate Type: Waiver

NPI Number: 1316212343

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0376832
LAB Type	Other - CLINICAL RESEARCH
Facility Name	WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE
Street	1717 SHAFFER STREET SUITE 004
City	KALAMAZOO
State	MI
ZIP	49048
Phone	269 337-4264
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024