23D2156350 CLIA NUMBER - COREWELL HEALTH OCCUPATIONAL HEALTH - ST JOSEPH

Laboratory Demographics

  • CLIA Code: 23D2156350
  • Facility Name: COREWELL HEALTH OCCUPATIONAL HEALTH - ST JOSEPH
  • Facility Address: 2500 NILES RD STE 4
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 408-4171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMOND FEEKS
  • NPI Number: 1407329261
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2156350
LAB Type Physician Office
Facility Name COREWELL HEALTH OCCUPATIONAL HEALTH - ST JOSEPH
Street 2500 NILES RD STE 4
City ST JOSEPH
State MI
ZIP 49085
Phone 269 408-4171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director EDMOND FEEKS

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