23D0701884 CLIA NUMBER - COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BRIDGMAN

Laboratory Demographics

  • CLIA Code: 23D0701884
  • Facility Name: COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BRIDGMAN
  • Facility Address: 9623 RED ARROW HIGHWAY
    BRIDGMAN, MI
    ZIP 49106
  • Facility Phone: 269 465-6050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES A. KROEZE
  • NPI Number: 1255659744
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0701884
LAB Type Physician Office
Facility Name COREWELL HEALTH SOUTHWESTERN MEDICAL CARE CENTER - BRIDGMAN
Street 9623 RED ARROW HIGHWAY
City BRIDGMAN
State MI
ZIP 49106
Phone 269 465-6050
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 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director JAMES A. KROEZE

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