23D0704358 CLIA NUMBER - HOLLAND PEDIATRIC ASSOCIATES PLC

Laboratory Demographics

  • CLIA Code: 23D0704358
  • Facility Name: HOLLAND PEDIATRIC ASSOCIATES PLC
  • Facility Address: 926 SOUTH WASHINGTON AVENUE BUILDING C
    HOLLAND, MI
    ZIP 49423
  • Facility Phone: (616) 393-0166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHRYN M. DAVIS
  • NPI Number: 1912970922
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D0704358
LAB Type Physician Office
Facility Name HOLLAND PEDIATRIC ASSOCIATES PLC
Street 926 SOUTH WASHINGTON AVENUE BUILDING C
City HOLLAND
State MI
ZIP 49423
Phone 6163930166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director KATHRYN M. DAVIS

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