23D0663994 CLIA NUMBER - BIO MEDICAL APPLICATIONS OF MICHIGAN, INC

Laboratory Demographics

CLIA Number: 23D0663994

Facility Name: BIO MEDICAL APPLICATIONS OF MICHIGAN, INC

Facility Address:
715 LAKESHIRE TRAIL
ADRIAN, MI
ZIP 49221
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Facility Phone Number: 517 263-5384

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1902911738

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0663994
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO MEDICAL APPLICATIONS OF MICHIGAN, INC
Street	715 LAKESHIRE TRAIL
City	ADRIAN
State	MI
ZIP	49221
Phone	517 263-5384
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024