23D0377157 CLIA NUMBER - BRONSON FAMILY MEDICINE - JOHN ST

Laboratory Demographics

  • CLIA Code: 23D0377157
  • Facility Name: BRONSON FAMILY MEDICINE - JOHN ST
  • Facility Address: 601 JOHN STREET SUITE M 020
    KALAMAZOO, MI
    ZIP 49007
  • Facility Phone: 269 341-8282
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS E. SWARD
  • NPI Number: 1487728978
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 23D0377157
LAB Type Physician Office
Facility Name BRONSON FAMILY MEDICINE - JOHN ST
Street 601 JOHN STREET SUITE M 020
City KALAMAZOO
State MI
ZIP 49007
Phone 269 341-8282
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 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director NICHOLAS E. SWARD

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