23D2247308 CLIA NUMBER - SHAENA FREEMAN MD PLLC

Laboratory Demographics

  • CLIA Code: 23D2247308
  • Facility Name: SHAENA FREEMAN MD PLLC
  • Facility Address: 1061 WASHINGTON AVENUE
    HOLLAND, MI
    ZIP 49423
  • Facility Phone: 616 393-8100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHAENA F. FREEMAN
  • NPI Number: 1023490943
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2247308
LAB Type Physician Office
Facility Name SHAENA FREEMAN MD PLLC
Street 1061 WASHINGTON AVENUE
City HOLLAND
State MI
ZIP 49423
Phone 616 393-8100
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 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director SHAENA F. FREEMAN

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