23D2188831 CLIA NUMBER - LAKESHOREMD, PLLC

Laboratory Demographics

  • CLIA Code: 23D2188831
  • Facility Name: LAKESHOREMD, PLLC
  • Facility Address: 950 TAYLOR AVENUE SUITE 170
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: (616) 201-7559
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUCHIRA MEHRA

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CLIA Record

Field Name Field Value
CLIA Number 23D2188831
LAB Type Physician Office
Facility Name LAKESHOREMD, PLLC
Street 950 TAYLOR AVENUE SUITE 170
City GRAND HAVEN
State MI
ZIP 49417
Phone 6162017559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director RUCHIRA MEHRA

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