23D0949866 CLIA NUMBER - R C G COLDWATER

Laboratory Demographics

  • CLIA Code: 23D0949866
  • Facility Name: R C G COLDWATER
  • Facility Address: 360 EAST CHICAGO STREET SUITE 112
    COLDWATER, MI
    ZIP 49036
  • Facility Phone: 517 278-2970
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOON S. PARK
  • NPI Number: 1558541698
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D0949866
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name R C G COLDWATER
Street 360 EAST CHICAGO STREET SUITE 112
City COLDWATER
State MI
ZIP 49036
Phone 517 278-2970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOON S. PARK

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