23D2210185 CLIA NUMBER - MERIDIAN WELLNESS, PLLC DBA AVENUE HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 23D2210185
  • Facility Name: MERIDIAN WELLNESS, PLLC DBA AVENUE HEALTH, PLLC
  • Facility Address: 2422 JOLLY ROAD, SUITE 100
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 618-9507
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. GORMAS
  • NPI Number: 1124631445
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2210185
LAB Type Physician Office
Facility Name MERIDIAN WELLNESS, PLLC DBA AVENUE HEALTH, PLLC
Street 2422 JOLLY ROAD, SUITE 100
City OKEMOS
State MI
ZIP 48864
Phone 517 618-9507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director MICHELLE A. GORMAS

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