23D0875929 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE & PEDIATRICS NORTH MUSKEGON

Laboratory Demographics

  • CLIA Code: 23D0875929
  • Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE & PEDIATRICS NORTH MUSKEGON
  • Facility Address: 2006 HOLTON ROAD SUITE 200
    NORTH MUSKEGON, MI
    ZIP 49445
  • Facility Phone: 231 672-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA TANNER
  • NPI Number: 1881789980
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0875929
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE & PEDIATRICS NORTH MUSKEGON
Street 2006 HOLTON ROAD SUITE 200
City NORTH MUSKEGON
State MI
ZIP 49445
Phone 231 672-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director TINA TANNER

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