23D0900147 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - SHELBY

Laboratory Demographics

  • CLIA Code: 23D0900147
  • Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - SHELBY
  • Facility Address: 71 BEVIER STREET
    SHELBY, MI
    ZIP 49455
  • Facility Phone: 231 861-2187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE A. SHELLHOUSE
  • NPI Number: 1639266794
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0900147
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - SHELBY
Street 71 BEVIER STREET
City SHELBY
State MI
ZIP 49455
Phone 231 861-2187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director JULIE A. SHELLHOUSE

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