23D0712541 CLIA NUMBER - COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA

Laboratory Demographics

  • CLIA Code: 23D0712541
  • Facility Name: COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA
  • Facility Address: 2776 S STATE ROAD
    IONIA, MI
    ZIP 48846
  • Facility Phone: 616 775-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD J. GINGERICH
  • NPI Number: 1477940773
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0712541
LAB Type Physician Office
Facility Name COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA
Street 2776 S STATE ROAD
City IONIA
State MI
ZIP 48846
Phone 616 775-7500
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 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director DONALD J. GINGERICH

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