23D0908160 CLIA NUMBER - COREWELL HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - GRANT

Laboratory Demographics

  • CLIA Code: 23D0908160
  • Facility Name: COREWELL HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - GRANT
  • Facility Address: 230 S MAPLE ST
    GRANT, MI
    ZIP 49327
  • Facility Phone: 231 834-5995
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JEROD GARDNER
  • NPI Number: 1013040492
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0908160
LAB Type Rural Health Clinic
Facility Name COREWELL HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - GRANT
Street 230 S MAPLE ST
City GRANT
State MI
ZIP 49327
Phone 231 834-5995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Rural Health Clinic
Lab Director JEROD GARDNER

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