23D2279962 CLIA NUMBER - ACAC INC

Laboratory Demographics

  • CLIA Code: 23D2279962
  • Facility Name: ACAC INC
  • Facility Address: 1190 E APPLE AVENUE
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 737-9840
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANJE J. BANKS
  • NPI Number: 1982365839
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 23D2279962
LAB Type Practitioner Other
Facility Name ACAC INC
Street 1190 E APPLE AVENUE
City MUSKEGON
State MI
ZIP 49442
Phone 231 737-9840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Practitioner Other
Lab Director ANJE J. BANKS

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