23D2250528 CLIA NUMBER - MUSKEGON COUNTY JAIL VITALCORE HEALTH STRATEGIES

Laboratory Demographics

  • CLIA Code: 23D2250528
  • Facility Name: MUSKEGON COUNTY JAIL VITALCORE HEALTH STRATEGIES
  • Facility Address: 980 TERRACE STREET
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 724-6594
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: SHELLY VIETS
  • NPI Number: 1891321352
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2250528
LAB Type Other - COUNTY JAIL
Facility Name MUSKEGON COUNTY JAIL VITALCORE HEALTH STRATEGIES
Street 980 TERRACE STREET
City MUSKEGON
State MI
ZIP 49442
Phone 231 724-6594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Other - COUNTY JAIL
Lab Director SHELLY VIETS

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