23D1092888 CLIA NUMBER - COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST

Laboratory Demographics

  • CLIA Code: 23D1092888
  • Facility Name: COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
  • Facility Address: 1005 W GREEN STREET SUITE 301
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 945-8080
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JIMMIE D. WOODALL
  • NPI Number: 1841644184
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1092888
LAB Type Rural Health Clinic
Facility Name COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
Street 1005 W GREEN STREET SUITE 301
City HASTINGS
State MI
ZIP 49058
Phone 269 945-8080
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Rural Health Clinic
Lab Director JIMMIE D. WOODALL

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