23D0379495 CLIA NUMBER - LAKEWOOD FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 23D0379495

Facility Name: LAKEWOOD FAMILY MEDICINE

Facility Address:
382 NORTH 120TH AVENUE
HOLLAND, MI
ZIP 49424
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Facility Phone Number: 616 396-6516

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073609392

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0379495
LAB Type	Physician Office
Facility Name	LAKEWOOD FAMILY MEDICINE
Street	382 NORTH 120TH AVENUE
City	HOLLAND
State	MI
ZIP	49424
Phone	616 396-6516
CertificateType	3
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	PPMP

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