23D1085201 CLIA NUMBER - BIO MEDICAL APPLICATIONS OF MICHIGAN DBA FRESENIUS MEDICAL CARE OF GULL ROAD

Laboratory Demographics

CLIA Number: 23D1085201

Facility Name: BIO MEDICAL APPLICATIONS OF MICHIGAN DBA FRESENIUS MEDICAL CARE OF GULL ROAD

Facility Address:
5010 GULL RD SUITE G
KALAMAZOO, MI
ZIP 49048
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Facility Phone Number: 269 382-3012

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1760645139

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1085201
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO MEDICAL APPLICATIONS OF MICHIGAN DBA FRESENIUS MEDICAL CARE OF GULL ROAD
Street	5010 GULL RD SUITE G
City	KALAMAZOO
State	MI
ZIP	49048
Phone	269 382-3012
CertificateType	4
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	Waiver

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