23D0972070 CLIA NUMBER - COREWELL HEALTH LAKELAND HOSPITALS HEART & VASCULAR - ROYALTON

Laboratory Demographics

  • CLIA Code: 23D0972070
  • Facility Name: COREWELL HEALTH LAKELAND HOSPITALS HEART & VASCULAR - ROYALTON
  • Facility Address: 3950 HOLLYWOOD RD SUITE 110 ENTRANCE B
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 985-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS K. POW
  • NPI Number: 1336657824
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D0972070
LAB Type Physician Office
Facility Name COREWELL HEALTH LAKELAND HOSPITALS HEART & VASCULAR - ROYALTON
Street 3950 HOLLYWOOD RD SUITE 110 ENTRANCE B
City ST JOSEPH
State MI
ZIP 49085
Phone 269 985-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director THOMAS K. POW

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