23D1042280 CLIA NUMBER - COREWELL HEALTH GASTROENTEROLOGY - 1179 E PARIS AVE SE

Laboratory Demographics

  • CLIA Code: 23D1042280
  • Facility Name: COREWELL HEALTH GASTROENTEROLOGY - 1179 E PARIS AVE SE
  • Facility Address: 1179 E PARIS AVENUE SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 267-7414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN P. PAPP JR
  • NPI Number: 1003099904
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1042280
LAB Type Physician Office
Facility Name COREWELL HEALTH GASTROENTEROLOGY - 1179 E PARIS AVE SE
Street 1179 E PARIS AVENUE SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 267-7414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director JOHN P. PAPP JR

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