23D0999039 CLIA NUMBER - NORTH AVENUE PODIATRY SERVICE

Laboratory Demographics

  • CLIA Code: 23D0999039
  • Facility Name: NORTH AVENUE PODIATRY SERVICE
  • Facility Address: 213 NORTH AVENUE
    BATTLE CREEK, MI
    ZIP 49017
  • Facility Phone: 616 968-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK P. JOHNSON, DPM
  • NPI Number: 1558531152
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 23D0999039
LAB Type Physician Office
Facility Name NORTH AVENUE PODIATRY SERVICE
Street 213 NORTH AVENUE
City BATTLE CREEK
State MI
ZIP 49017
Phone 616 968-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director CLARK P. JOHNSON, DPM

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