23D0379906 CLIA NUMBER - WEST MICHIGAN NEPHROLOGY PLLC

Laboratory Demographics

  • CLIA Code: 23D0379906
  • Facility Name: WEST MICHIGAN NEPHROLOGY PLLC
  • Facility Address: 1250 MERCY DRIVE, STE 101
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 733-1912
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY H. DOWNER
  • NPI Number: 1235143090
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0379906
LAB Type Physician Office
Facility Name WEST MICHIGAN NEPHROLOGY PLLC
Street 1250 MERCY DRIVE, STE 101
City MUSKEGON
State MI
ZIP 49444
Phone 231 733-1912
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 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director GREGORY H. DOWNER

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