23D0948745 CLIA NUMBER - WEST MICHIGAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D0948745
  • Facility Name: WEST MICHIGAN DERMATOLOGY
  • Facility Address: 3290 N WELLNESS DRIVE BLDG D SUITE #240
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 395-9379
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JUAN G. VASQUEZ
  • NPI Number: 1225473796
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0948745
LAB Type Physician Office
Facility Name WEST MICHIGAN DERMATOLOGY
Street 3290 N WELLNESS DRIVE BLDG D SUITE #240
City HOLLAND
State MI
ZIP 49424
Phone 616 395-9379
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director DR. JUAN G. VASQUEZ

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