23D1079405 CLIA NUMBER - OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 23D1079405
  • Facility Name: OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH
  • Facility Address: 12251 JAMES ST SUITE 500
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 396-5266
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: GWENDOLYN R. UNZICKER
  • NPI Number: 1346329570
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D1079405
LAB Type Public Health Laboratories
Facility Name OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH
Street 12251 JAMES ST SUITE 500
City HOLLAND
State MI
ZIP 49424
Phone 616 396-5266
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 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Public Health Laboratories
Lab Director GWENDOLYN R. UNZICKER

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