23D1041484 CLIA NUMBER - PLASTIC SURGERY ARTS OF WEST MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D1041484
  • Facility Name: PLASTIC SURGERY ARTS OF WEST MICHIGAN
  • Facility Address: 3124 N WELLNESS DRIVE SUITE 10
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 738-5870
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RYAN E. DODDE II
  • NPI Number: 1467641373
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D1041484
LAB Type Ambulatory Surgery Center
Facility Name PLASTIC SURGERY ARTS OF WEST MICHIGAN
Street 3124 N WELLNESS DRIVE SUITE 10
City HOLLAND
State MI
ZIP 49424
Phone 616 738-5870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulatory Surgery Center
Lab Director RYAN E. DODDE II

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