23D1103777 CLIA NUMBER - COREWELL HEALTH FAMILY MEDICINE - CALEDONIA

Laboratory Demographics

  • CLIA Code: 23D1103777
  • Facility Name: COREWELL HEALTH FAMILY MEDICINE - CALEDONIA
  • Facility Address: 9090 S RODGERS CT SE SUITE A
    CALEDONIA, MI
    ZIP 49316
  • Facility Phone: (616) 891-0422
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ADAM Z. MITCHELL

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CLIA Record

Field Name Field Value
CLIA Number 23D1103777
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY MEDICINE - CALEDONIA
Street 9090 S RODGERS CT SE SUITE A
City CALEDONIA
State MI
ZIP 49316
Phone 6168910422
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 4/3/2026
Certificate Expiration Date 4/2/2028
Facility Type Physician Office
Lab Director ADAM Z. MITCHELL

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This page was last updated on: 5/18/2026