23D0934127 CLIA NUMBER - WEST MICHIGAN FAMILY HEALTH

Laboratory Demographics

CLIA Number: 23D0934127

Facility Name: WEST MICHIGAN FAMILY HEALTH

Facility Address:
4070 LAKE DRIVE SE SUITE 101
GRAND RAPIDS, MI
ZIP 49546
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Facility Phone Number: 616 455-4114

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1831513449

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0934127
LAB Type	Physician Office
Facility Name	WEST MICHIGAN FAMILY HEALTH
Street	4070 LAKE DRIVE SE SUITE 101
City	GRAND RAPIDS
State	MI
ZIP	49546
Phone	616 455-4114
CertificateType	3
CertificateEffectiveDate	9/30/2023
CertificateExpirationDate	9/29/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024