23D0930954 CLIA NUMBER - BROOKSIDE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D0930954
  • Facility Name: BROOKSIDE SURGERY CENTER
  • Facility Address: 3600 CAPITAL AVENUE SW SUITE 101
    BATTLE CREEK, MI
    ZIP 49015
  • Facility Phone: 269 979-2490
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH E. BURKHARDT
  • NPI Number: 1124125331
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0930954
LAB Type Ambulatory Surgery Center
Facility Name BROOKSIDE SURGERY CENTER
Street 3600 CAPITAL AVENUE SW SUITE 101
City BATTLE CREEK
State MI
ZIP 49015
Phone 269 979-2490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH E. BURKHARDT

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