23D0974313 CLIA NUMBER - GREAT LAKES CENTER OF RHEUMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D0974313
  • Facility Name: GREAT LAKES CENTER OF RHEUMATOLOGY
  • Facility Address: 4052 LEGACY PARKWAY SUITE 200
    LANSING, MI
    ZIP 48911
  • Facility Phone: 517 272-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA JUNE
  • NPI Number: 1023342474
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0974313
LAB Type Physician Office
Facility Name GREAT LAKES CENTER OF RHEUMATOLOGY
Street 4052 LEGACY PARKWAY SUITE 200
City LANSING
State MI
ZIP 48911
Phone 517 272-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director JOSHUA JUNE

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