23D1038976 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - LAKES VILLAGE

Laboratory Demographics

  • CLIA Code: 23D1038976
  • Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - LAKES VILLAGE
  • Facility Address: 6401 PRAIRIE STREET SUITE 2600
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 672-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTA J. HILLMAN
  • NPI Number: 1992749014
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1038976
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - LAKES VILLAGE
Street 6401 PRAIRIE STREET SUITE 2600
City MUSKEGON
State MI
ZIP 49444
Phone 231 672-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director KRISTA J. HILLMAN

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