23D0377660 CLIA NUMBER - BRONSON LAKEVIEW FAMILY CARE DECATUR

Laboratory Demographics

  • CLIA Code: 23D0377660
  • Facility Name: BRONSON LAKEVIEW FAMILY CARE DECATUR
  • Facility Address: 319 DELAWARE STREET
    DECATUR, MI
    ZIP 49045
  • Facility Phone: 269 423-7028
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PEARCE J. DUPUIS
  • NPI Number: 1376767285
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0377660
LAB Type Physician Office
Facility Name BRONSON LAKEVIEW FAMILY CARE DECATUR
Street 319 DELAWARE STREET
City DECATUR
State MI
ZIP 49045
Phone 269 423-7028
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 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director PEARCE J. DUPUIS

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