23D1053099 CLIA NUMBER - COREWELL HEALTH HOSPICE & PALLIATIVE CARE SOUTHWEST MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D1053099
  • Facility Name: COREWELL HEALTH HOSPICE & PALLIATIVE CARE SOUTHWEST MICHIGAN
  • Facility Address: 4025 HEALTH PARK LANE
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 429-7100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MELINDA GRAHAM-GRUBER
  • NPI Number: 1831186311
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D1053099
LAB Type Hospice
Facility Name COREWELL HEALTH HOSPICE & PALLIATIVE CARE SOUTHWEST MICHIGAN
Street 4025 HEALTH PARK LANE
City ST JOSEPH
State MI
ZIP 49085
Phone 269 429-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Hospice
Lab Director MELINDA GRAHAM-GRUBER

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