23D2171844 CLIA NUMBER - REVOLUTION HEALTH

Laboratory Demographics

  • CLIA Code: 23D2171844
  • Facility Name: REVOLUTION HEALTH
  • Facility Address: 104 S LAKEVIEW STREET
    STURGIS, MI
    ZIP 49091
  • Facility Phone: 269 319-8850
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: JADE L. KLINGLER
  • NPI Number: 1366091670
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2171844
LAB Type Independent
Facility Name REVOLUTION HEALTH
Street 104 S LAKEVIEW STREET
City STURGIS
State MI
ZIP 49091
Phone 269 319-8850
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Independent
Lab Director JADE L. KLINGLER

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