23D0708389 CLIA NUMBER - WEST FRONT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0708389
  • Facility Name: WEST FRONT PRIMARY CARE
  • Facility Address: 4290 COOPER RIDGE DRIVE
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 935-8930
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARI L. YOUNG
  • NPI Number: 1851490296
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0708389
LAB Type Physician Office
Facility Name WEST FRONT PRIMARY CARE
Street 4290 COOPER RIDGE DRIVE
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 935-8930
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 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director KARI L. YOUNG

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