23D0379912 CLIA NUMBER - WEST SHORE UROLOGY

Laboratory Demographics

  • CLIA Code: 23D0379912
  • Facility Name: WEST SHORE UROLOGY
  • Facility Address: 1301 MERCY DRIVE
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 734 615-7902
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ADAM R. WALKER
  • NPI Number: 1447376215
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 23D0379912
LAB Type Physician Office
Facility Name WEST SHORE UROLOGY
Street 1301 MERCY DRIVE
City MUSKEGON
State MI
ZIP 49444
Phone 734 615-7902
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director ADAM R. WALKER

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