23D2164747 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP ACADEMIC INTERNAL MEDICINE - SHERMAN

Laboratory Demographics

  • CLIA Code: 23D2164747
  • Facility Name: TRINITY HEALTH MEDICAL GROUP ACADEMIC INTERNAL MEDICINE - SHERMAN
  • Facility Address: 1150 E SHERMAN BLVD SUITE 1100
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 672-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH WESTGATE
  • NPI Number: 1962417576
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2164747
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP ACADEMIC INTERNAL MEDICINE - SHERMAN
Street 1150 E SHERMAN BLVD SUITE 1100
City MUSKEGON
State MI
ZIP 49444
Phone 231 672-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director ELIZABETH WESTGATE

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