23D0665452 CLIA NUMBER - INTERCARE COMMUNITY HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 23D0665452
  • Facility Name: INTERCARE COMMUNITY HEALTH NETWORK
  • Facility Address: 5498 109TH AVENUE
    PULLMAN, MI
    ZIP 49450
  • Facility Phone: 269 427-7937
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LANA J. ZARLENGO
  • NPI Number: 1336701119
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0665452
LAB Type Federally Qualified Health Center
Facility Name INTERCARE COMMUNITY HEALTH NETWORK
Street 5498 109TH AVENUE
City PULLMAN
State MI
ZIP 49450
Phone 269 427-7937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Federally Qualified Health Center
Lab Director LANA J. ZARLENGO

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