23D0698067 CLIA NUMBER - TIMOTHY S VAN SCHOICK MD

Laboratory Demographics

  • CLIA Code: 23D0698067
  • Facility Name: TIMOTHY S VAN SCHOICK MD
  • Facility Address: 2100 FOURTH STREET
    JACKSON, MI
    ZIP 49203
  • Facility Phone: 517 787-4330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY S. VAN SCHOICK
  • NPI Number: 1760441455
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0698067
LAB Type Physician Office
Facility Name TIMOTHY S VAN SCHOICK MD
Street 2100 FOURTH STREET
City JACKSON
State MI
ZIP 49203
Phone 517 787-4330
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 TIMOTHY S. VAN SCHOICK

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