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23D2142340 CLIA NUMBER - COREWELL HEALTH FAMILY MEDICINE & INTERNAL MEDICINE - GRAND HAVEN

Laboratory Demographics

CLIA Number: 23D2142340

Facility Name: COREWELL HEALTH FAMILY MEDICINE & INTERNAL MEDICINE - GRAND HAVEN

Facility Address:
15100 WHITTAKER WAY
GRAND HAVEN, MI
ZIP 49417
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Facility Phone Number: 616 935-6320

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1336540046

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name Field Value
CLIA Number 23D2142340
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY MEDICINE & INTERNAL MEDICINE - GRAND HAVEN
Street 15100 WHITTAKER WAY
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 935-6320
CertificateType 3
CertificateEffectiveDate 1/9/2024
CertificateExpirationDate 1/8/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024