LABORATORY CORPORATION OF AMERICA
NPI 1336720671
Clinical Medical Laboratory in Traverse City, MI

Active since April 19, 2021CLIA 23D2219162 · Waiver
4290 COPPER RIDGE DR STE 120, TRAVERSE CITY, MI 49684(855) 841-0475(248) 888-9039 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2021, Apr 19, 2021 (2 updates tracked since 2021).

About Laboratory Corporation Of America NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LABORATORY CORPORATION OF AMERICA (NPI 1336720671) is a healthcare organization registered as a clinical medical laboratory in Traverse City, Michigan and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Kimberly T Williams, Vice President, as its authorized official.

NPPES Registry Identity

NPI1336720671
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLABORATORY CORPORATION OF AMERICA
Location Address4290 COPPER RIDGE DR STE 120Traverse City, MI 49684-7205
Mailing AddressPo Box 2240Burlington, NC 27216-2240 · (336) 436-5884
Fax(248) 888-9039
Organization SubpartNo
Authorized OfficialKimberly T WilliamsVice President · (800) 222-7566
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1336720671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4290 COPPER RIDGE DR STE 120, Traverse City, MI 49684

Other Identifiers 1

Other23D2219162Clia

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2219162

Laboratory Corporation Of America · Traverse City, MI
Active · expires Mar 13, 2028
CLIA Number23D2219162
Laboratory TypeIndependent
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorLeland Payne
Laboratory Phone(855) 841-0475
Laboratory LocationLaboratory Corporation Of America4290 Copper Ridge Drive Suite 120, Traverse City, MI 49684
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laboratory Corporation Of America's NPI number?

The NPI number for Laboratory Corporation Of America is 1336720671. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Laboratory Corporation Of America located?

Laboratory Corporation Of America is located at 4290 Copper Ridge Dr Ste 120, Traverse City, MI 49684. The listed phone number is (855) 841-0475.

What is Laboratory Corporation Of America's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Laboratory Corporation Of America hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2219162) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Laboratory Corporation Of America accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Laboratory Corporation Of America as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laboratory Corporation Of America was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.