23D2251384 CLIA NUMBER - CHILDREN'S ASSESSMENT CENTER OF OTTAWA COUNTY

Laboratory Demographics

  • CLIA Code: 23D2251384
  • Facility Name: CHILDREN'S ASSESSMENT CENTER OF OTTAWA COUNTY
  • Facility Address: 12125 UNION ST
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 393-6123
  • Facility Type: Other - SOCIAL SERVICE ORGANIZATI
  • Facility Type: Waiver
  • Lab Director: RACHAEL DEWITT
  • NPI Number: 1528166204
  • Taxonomy: 101Y00000X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 23D2251384
LAB Type Other - SOCIAL SERVICE ORGANIZATI
Facility Name CHILDREN'S ASSESSMENT CENTER OF OTTAWA COUNTY
Street 12125 UNION ST
City HOLLAND
State MI
ZIP 49424
Phone 616 393-6123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Other - SOCIAL SERVICE ORGANIZATI
Lab Director RACHAEL DEWITT

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