23D2094675 CLIA NUMBER - MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 23D2094675
  • Facility Name: MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT
  • Facility Address: 630 HARVEY STREET
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 767-7253
  • Facility Type: Other - SCHOOL
  • Facility Type: Waiver
  • Lab Director: TABITHA GLYNN
  • NPI Number: 1184161960
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2094675
LAB Type Other - SCHOOL
Facility Name MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT
Street 630 HARVEY STREET
City MUSKEGON
State MI
ZIP 49442
Phone 231 767-7253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Other - SCHOOL
Lab Director TABITHA GLYNN

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This page was last updated on: 6/4/2025