23D0975403 CLIA NUMBER - FOUNTAIN VIEW OF FREMONT

Laboratory Demographics

  • CLIA Code: 23D0975403
  • Facility Name: FOUNTAIN VIEW OF FREMONT
  • Facility Address: 102 HILLCREST AVE
    FREMONT, MI
    ZIP 49412
  • Facility Phone: 616 285-0569
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHELLEY MCDONALD
  • NPI Number: 1720196819
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D0975403
LAB Type Other
Facility Name FOUNTAIN VIEW OF FREMONT
Street 102 HILLCREST AVE
City FREMONT
State MI
ZIP 49412
Phone 616 285-0569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Other
Lab Director SHELLEY MCDONALD

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