23D0379768 CLIA NUMBER - SHORELINE PEDIATRICS PLC

Laboratory Demographics

  • CLIA Code: 23D0379768
  • Facility Name: SHORELINE PEDIATRICS PLC
  • Facility Address: 2680 VULCAN STREET
    NORTON SHORES, MI
    ZIP 49444
  • Facility Phone: 231 777-2732
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. HUBBARD
  • NPI Number: 1609874643
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0379768
LAB Type Physician Office
Facility Name SHORELINE PEDIATRICS PLC
Street 2680 VULCAN STREET
City NORTON SHORES
State MI
ZIP 49444
Phone 231 777-2732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JENNIFER R. HUBBARD

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