23D2255022 CLIA NUMBER - HOLLAND HOSPITAL PRIMARY CARE - GRAND HAVEN

Laboratory Demographics

  • CLIA Code: 23D2255022
  • Facility Name: HOLLAND HOSPITAL PRIMARY CARE - GRAND HAVEN
  • Facility Address: 1600 S BEACON BLVD SUITE 240
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 344-1033
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: COURTNEY M. ERICKSON ADAMS
  • NPI Number: 1982910857
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 23D2255022
LAB Type Physician Office
Facility Name HOLLAND HOSPITAL PRIMARY CARE - GRAND HAVEN
Street 1600 S BEACON BLVD SUITE 240
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 344-1033
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 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director COURTNEY M. ERICKSON ADAMS

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