23D1093577 CLIA NUMBER - INTERCARE COMMUNITY HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 23D1093577
  • Facility Name: INTERCARE COMMUNITY HEALTH NETWORK
  • Facility Address: 870 COLFAX AVENUE
    BENTON HARBOR, MI
    ZIP 49022
  • Facility Phone: 269 427-7937
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LANA J. ZARLENGO
  • NPI Number: 1891113353
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D1093577
LAB Type Federally Qualified Health Center
Facility Name INTERCARE COMMUNITY HEALTH NETWORK
Street 870 COLFAX AVENUE
City BENTON HARBOR
State MI
ZIP 49022
Phone 269 427-7937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Federally Qualified Health Center
Lab Director LANA J. ZARLENGO

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