23D2010825 CLIA NUMBER - BYRON CENTER FAMILY MEDICINE TIMOTHY J TOBOLIC MD

Laboratory Demographics

  • CLIA Code: 23D2010825
  • Facility Name: BYRON CENTER FAMILY MEDICINE TIMOTHY J TOBOLIC MD
  • Facility Address: 7740 BYRON CENTER AVE, STE 202
    BYRON CENTER, MI
    ZIP 49315
  • Facility Phone: 616 217-5100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TIMOTHY J. TOBOLIC
  • NPI Number: 1760650220
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 23D2010825
LAB Type Physician Office
Facility Name BYRON CENTER FAMILY MEDICINE TIMOTHY J TOBOLIC MD
Street 7740 BYRON CENTER AVE, STE 202
City BYRON CENTER
State MI
ZIP 49315
Phone 616 217-5100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY J. TOBOLIC

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