23D0701880 CLIA NUMBER - COREWELL HEALTH WOMEN'S HEALTH - ROYALTON

Laboratory Demographics

  • CLIA Code: 23D0701880
  • Facility Name: COREWELL HEALTH WOMEN'S HEALTH - ROYALTON
  • Facility Address: 3950 HOLLYWOOD ROAD SUITE 100
    SAINT JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 429-8010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH O NEILL
  • NPI Number: 1235562174
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0701880
LAB Type Physician Office
Facility Name COREWELL HEALTH WOMEN'S HEALTH - ROYALTON
Street 3950 HOLLYWOOD ROAD SUITE 100
City SAINT JOSEPH
State MI
ZIP 49085
Phone 269 429-8010
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 KENNETH O NEILL

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