23D1046581 CLIA NUMBER - ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS

Laboratory Demographics

  • CLIA Code: 23D1046581
  • Facility Name: ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS
  • Facility Address: 7901 ANGLING ROAD
    PORTAGE, MI
    ZIP 49024
  • Facility Phone: 269 324-8406
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN M. NITSCH MD
  • NPI Number: 1508978990
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1046581
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS
Street 7901 ANGLING ROAD
City PORTAGE
State MI
ZIP 49024
Phone 269 324-8406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Ambulatory Surgery Center
Lab Director STEVEN M. NITSCH MD

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