23D1082499 CLIA NUMBER - LIFECIRCLES - PACE

Laboratory Demographics

CLIA Code: 23D1082499
Facility Name: LIFECIRCLES - PACE
Facility Address: 560 SEMINOLE ROAD
MUSKEGON, MI
ZIP 49444
Facility Phone: 616 582-3100
Facility Type: Other - PACE
Facility Type: Waiver
Lab Director: DANIEL CALDWELL
NPI Number: 1710124045
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	23D1082499
LAB Type	Other - PACE
Facility Name	LIFECIRCLES - PACE
Street	560 SEMINOLE ROAD
City	MUSKEGON
State	MI
ZIP	49444
Phone	616 582-3100
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/11/2024
Certificate Expiration Date	4/10/2026
Facility Type	Other - PACE
Lab Director	DANIEL CALDWELL

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