23D0988107 CLIA NUMBER - SURGERY CENTER,THE

Laboratory Demographics

  • CLIA Code: 23D0988107
  • Facility Name: SURGERY CENTER,THE
  • Facility Address: 5080 N ROYAL DRIVE
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 929-2500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRADLEY HOCHSTETLER
  • NPI Number: 1770577637
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0988107
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER,THE
Street 5080 N ROYAL DRIVE
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 929-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Ambulatory Surgery Center
Lab Director BRADLEY HOCHSTETLER

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