23D0877646 CLIA NUMBER - MCLAREN GREATER LANSING

Laboratory Demographics

  • CLIA Code: 23D0877646
  • Facility Name: MCLAREN GREATER LANSING
  • Facility Address: 2104 JOLLY ROAD SUITE 220
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 975-1400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA KOTA
  • NPI Number: 1225177678
  • Taxonomy: 367A00000X - Advanced Practice Midwife

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0877646
LAB Type Physician Office
Facility Name MCLAREN GREATER LANSING
Street 2104 JOLLY ROAD SUITE 220
City OKEMOS
State MI
ZIP 48864
Phone 517 975-1400
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 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director LAURA KOTA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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