23D0711444 CLIA NUMBER - INTERCARE COMMUNITY HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 23D0711444
  • Facility Name: INTERCARE COMMUNITY HEALTH NETWORK
  • Facility Address: 800 M-139
    BENTON HARBOR, MI
    ZIP 49022
  • Facility Phone: 269 427-7937
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LANA J. ZARLENGO
  • NPI Number: 1982614103
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0711444
LAB Type Federally Qualified Health Center
Facility Name INTERCARE COMMUNITY HEALTH NETWORK
Street 800 M-139
City BENTON HARBOR
State MI
ZIP 49022
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 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Federally Qualified Health Center
Lab Director LANA J. ZARLENGO

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