23D2123382 CLIA NUMBER - MERCY HEALTH PAVILION IMAGING SERVICES

Laboratory Demographics

  • CLIA Code: 23D2123382
  • Facility Name: MERCY HEALTH PAVILION IMAGING SERVICES
  • Facility Address: 1150 E SHERMAN SUITE 1200
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 672-3301
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RICHARD A. WILCOX
  • NPI Number: 1700208444
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 23D2123382
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MERCY HEALTH PAVILION IMAGING SERVICES
Street 1150 E SHERMAN SUITE 1200
City MUSKEGON
State MI
ZIP 49444
Phone 231 672-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RICHARD A. WILCOX

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