23D2242407 CLIA NUMBER - PATIENT ONE CARE

Laboratory Demographics

  • CLIA Code: 23D2242407
  • Facility Name: PATIENT ONE CARE
  • Facility Address: 2871 44TH STREET S W
    GRANDVILLE, MI
    ZIP 49418
  • Facility Phone: 616 410-7420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOBEDA SHEULY
  • NPI Number: 1255001566
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2242407
LAB Type Physician Office
Facility Name PATIENT ONE CARE
Street 2871 44TH STREET S W
City GRANDVILLE
State MI
ZIP 49418
Phone 616 410-7420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director JOBEDA SHEULY

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