23D1048829 CLIA NUMBER - SHORELINE ASC INC

Laboratory Demographics

  • CLIA Code: 23D1048829
  • Facility Name: SHORELINE ASC INC
  • Facility Address: 1298 E SHERMAN BLVD
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 737-4714
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID J. RAWLINSON
  • NPI Number: 1194910307
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D1048829
LAB Type Ambulatory Surgery Center
Facility Name SHORELINE ASC INC
Street 1298 E SHERMAN BLVD
City MUSKEGON
State MI
ZIP 49444
Phone 231 737-4714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Ambulatory Surgery Center
Lab Director DAVID J. RAWLINSON

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