23D0723683 CLIA NUMBER - KENT PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 23D0723683
  • Facility Name: KENT PEDIATRICS PC
  • Facility Address: 4735 WEST RIVER NE
    COMSTOCK PARK, MI
    ZIP 49321
  • Facility Phone: 616 784-9400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS P. KOKX
  • NPI Number: 1871689638
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0723683
LAB Type Physician Office
Facility Name KENT PEDIATRICS PC
Street 4735 WEST RIVER NE
City COMSTOCK PARK
State MI
ZIP 49321
Phone 616 784-9400
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director NICHOLAS P. KOKX

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