23D2109111 CLIA NUMBER - COREWELL HEALTH EAR, NOSE & THROAT - 705 S GREENVILLE WEST DR

Laboratory Demographics

  • CLIA Code: 23D2109111
  • Facility Name: COREWELL HEALTH EAR, NOSE & THROAT - 705 S GREENVILLE WEST DR
  • Facility Address: 705 S GREENVILLE WEST DRIVE
    GREENVILLE, MI
    ZIP 48838
  • Facility Phone: 616 267-7758
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH J. POSTMA
  • NPI Number: 1235504770
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2109111
LAB Type Physician Office
Facility Name COREWELL HEALTH EAR, NOSE & THROAT - 705 S GREENVILLE WEST DR
Street 705 S GREENVILLE WEST DRIVE
City GREENVILLE
State MI
ZIP 48838
Phone 616 267-7758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director KEITH J. POSTMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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