23D2102688 CLIA NUMBER - COREWELL HEALTH FAMILY & INTERNAL MEDICINE - 2009 HOLTON RD

Laboratory Demographics

  • CLIA Code: 23D2102688
  • Facility Name: COREWELL HEALTH FAMILY & INTERNAL MEDICINE - 2009 HOLTON RD
  • Facility Address: 2009 HOLTON ROAD
    MUSKEGON, MI
    ZIP 49445
  • Facility Phone: 231 291-8399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALINA MCDERMED
  • NPI Number: 1346698784
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2102688
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY & INTERNAL MEDICINE - 2009 HOLTON RD
Street 2009 HOLTON ROAD
City MUSKEGON
State MI
ZIP 49445
Phone 231 291-8399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director ALINA MCDERMED

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This page was last updated on: 3/20/2025