23D0859308 CLIA NUMBER - CONCENTRA MEDICAL CENTERS-HOLLAND-MI

Laboratory Demographics

  • CLIA Code: 23D0859308
  • Facility Name: CONCENTRA MEDICAL CENTERS-HOLLAND-MI
  • Facility Address: 335 N 120TH AVENUE
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 392-5222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY LESHMAN
  • NPI Number: 1639144231
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D0859308
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS-HOLLAND-MI
Street 335 N 120TH AVENUE
City HOLLAND
State MI
ZIP 49424
Phone 616 392-5222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director BARRY LESHMAN

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