23D0379117 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP - PRIMARY CARE - SPARTA

Laboratory Demographics

  • CLIA Code: 23D0379117
  • Facility Name: TRINITY HEALTH MEDICAL GROUP - PRIMARY CARE - SPARTA
  • Facility Address: 475 S STATE STREET
    SPARTA, MI
    ZIP 49345
  • Facility Phone: 616 685-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JARRAD M. UTTER
  • NPI Number: 1245769744
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0379117
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP - PRIMARY CARE - SPARTA
Street 475 S STATE STREET
City SPARTA
State MI
ZIP 49345
Phone 616 685-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director JARRAD M. UTTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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