23D2159414 CLIA NUMBER - WEST MICHIGAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D2159414
  • Facility Name: WEST MICHIGAN DERMATOLOGY
  • Facility Address: 3434 RIVERTOWN POINT COURT SW
    GRANDVILLE, MI
    ZIP 49418
  • Facility Phone: (616) 257-3344
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JUAN G. VASQUEZ
  • NPI Number: 1609896034
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2159414
LAB Type Physician Office
Facility Name WEST MICHIGAN DERMATOLOGY
Street 3434 RIVERTOWN POINT COURT SW
City GRANDVILLE
State MI
ZIP 49418
Phone 6162573344
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/1/2026
Certificate Expiration Date 3/31/2028
Facility Type Physician Office
Lab Director JUAN G. VASQUEZ

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This page was last updated on: 5/18/2026