23D2121090 CLIA NUMBER - COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BUCHANAN

Laboratory Demographics

  • CLIA Code: 23D2121090
  • Facility Name: COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BUCHANAN
  • Facility Address: 1045 E FRONT STREET
    BUCHANAN, MI
    ZIP 49107
  • Facility Phone: 269 695-5540
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER J. HARVEY
  • NPI Number: 1568911980
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2121090
LAB Type Physician Office
Facility Name COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BUCHANAN
Street 1045 E FRONT STREET
City BUCHANAN
State MI
ZIP 49107
Phone 269 695-5540
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director CHRISTOPHER J. HARVEY

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