23D0650871 CLIA NUMBER - MICHIGAN STATE UNIVERSITY CAMPUS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 23D0650871
  • Facility Name: MICHIGAN STATE UNIVERSITY CAMPUS HEALTH SERVICES
  • Facility Address: 463 E CIRCLE DRIVE
    EAST LANSING, MI
    ZIP 48824
  • Facility Phone: (517) 335-8237
  • Facility Type: Other - STUDENT HEALTH CLINIC
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY P. SPEDOSKE
  • NPI Number: 1083666820
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D0650871
LAB Type Other - STUDENT HEALTH CLINIC
Facility Name MICHIGAN STATE UNIVERSITY CAMPUS HEALTH SERVICES
Street 463 E CIRCLE DRIVE
City EAST LANSING
State MI
ZIP 48824
Phone 5173358237
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - STUDENT HEALTH CLINIC
Lab Director TIMOTHY P. SPEDOSKE

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This page was last updated on: 5/18/2026