23D0876500 CLIA NUMBER - CALVIN COLLEGE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0876500
  • Facility Name: CALVIN COLLEGE HEALTH CENTER
  • Facility Address: 160 HOOGENBOOM CENTER 3195 KNIGHT WAY SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 526-6187
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: LAURA L. CHAMPION
  • NPI Number: 1609147339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0876500
LAB Type School/Student Health Service
Facility Name CALVIN COLLEGE HEALTH CENTER
Street 160 HOOGENBOOM CENTER 3195 KNIGHT WAY SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 526-6187
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 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type School/Student Health Service
Lab Director LAURA L. CHAMPION

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