23D1003166 CLIA NUMBER - COREWELL HEALTH FAMILY, INTERNAL AND PEDIATRIC MEDICINE - ROCKFORD

Laboratory Demographics

  • CLIA Code: 23D1003166
  • Facility Name: COREWELL HEALTH FAMILY, INTERNAL AND PEDIATRIC MEDICINE - ROCKFORD
  • Facility Address: 8501 MEADOW CREEK DRIVE 2ND FLOOR
    ROCKFORD, MI
    ZIP 49341
  • Facility Phone: 616 825-7625
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AARON J. DEFRANG
  • NPI Number: 1376077453
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1003166
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY, INTERNAL AND PEDIATRIC MEDICINE - ROCKFORD
Street 8501 MEADOW CREEK DRIVE 2ND FLOOR
City ROCKFORD
State MI
ZIP 49341
Phone 616 825-7625
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director AARON J. DEFRANG

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This page was last updated on: 6/4/2025