23D0378216 CLIA NUMBER - HEALTHY COCOON PRACTICE, PLLC, THE

Laboratory Demographics

  • CLIA Code: 23D0378216
  • Facility Name: HEALTHY COCOON PRACTICE, PLLC, THE
  • Facility Address: 27082 W MAIN STREET
    EDWARDSBURG, MI
    ZIP 49112
  • Facility Phone: 269 246-1375
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LINDSEY D. LIRA
  • NPI Number: 1205852365
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0378216
LAB Type Physician Office
Facility Name HEALTHY COCOON PRACTICE, PLLC, THE
Street 27082 W MAIN STREET
City EDWARDSBURG
State MI
ZIP 49112
Phone 269 246-1375
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director LINDSEY D. LIRA

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This page was last updated on: 9/29/2025