23D1075886 CLIA NUMBER - SELECT HEALTH PC

Laboratory Demographics

  • CLIA Code: 23D1075886
  • Facility Name: SELECT HEALTH PC
  • Facility Address: 436 MARSHALL STREET
    COLDWATER, MI
    ZIP 49036
  • Facility Phone: 517 278-6600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES F. WHITAKER IV MD
  • NPI Number: 1699960013
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1075886
LAB Type Physician Office
Facility Name SELECT HEALTH PC
Street 436 MARSHALL STREET
City COLDWATER
State MI
ZIP 49036
Phone 517 278-6600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director CHARLES F. WHITAKER IV MD

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