23D2059943 CLIA NUMBER - NXGEN MDX LLC

Laboratory Demographics

  • CLIA Code: 23D2059943
  • Facility Name: NXGEN MDX LLC
  • Facility Address: 801 BROADWAY AVE, NW SUITE 203
    GRAND RAPIDS, MI
    ZIP 49504
  • Facility Phone: 855 776-9436
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ROBERT CARLSON
  • NPI Number: 1326484569
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D2059943
LAB Type Independent
Facility Name NXGEN MDX LLC
Street 801 BROADWAY AVE, NW SUITE 203
City GRAND RAPIDS
State MI
ZIP 49504
Phone 855 776-9436
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Independent
Lab Director ROBERT CARLSON

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