23D1103680 CLIA NUMBER - ASCENSION MEDICAL GROUP PROMED

Laboratory Demographics

  • CLIA Code: 23D1103680
  • Facility Name: ASCENSION MEDICAL GROUP PROMED
  • Facility Address: 8450 N 32ND STREET
    RICHLAND, MI
    ZIP 49083
  • Facility Phone: 269 552-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOM SAAD
  • NPI Number: 1518753441
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D1103680
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP PROMED
Street 8450 N 32ND STREET
City RICHLAND
State MI
ZIP 49083
Phone 269 552-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director TOM SAAD

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