23D2067109 CLIA NUMBER - COREWELL HEALTH DIABETES & ENDOCRINOLOGY - ROYALTON

Laboratory Demographics

  • CLIA Code: 23D2067109
  • Facility Name: COREWELL HEALTH DIABETES & ENDOCRINOLOGY - ROYALTON
  • Facility Address: 3950 HOLLYWOOD ROAD, STE 284
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 408-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA L. MORRIS
  • NPI Number: 1508102633
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2067109
LAB Type Physician Office
Facility Name COREWELL HEALTH DIABETES & ENDOCRINOLOGY - ROYALTON
Street 3950 HOLLYWOOD ROAD, STE 284
City ST JOSEPH
State MI
ZIP 49085
Phone 269 408-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director AMANDA L. MORRIS

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