23D2023390 CLIA NUMBER - PARAGON HEALTH PC DBA ADVANCED VASCULAR SURGERY

Laboratory Demographics

  • CLIA Code: 23D2023390
  • Facility Name: PARAGON HEALTH PC DBA ADVANCED VASCULAR SURGERY
  • Facility Address: 1815 HENSON AVE
    KALAMAZOO, MI
    ZIP 49048
  • Facility Phone: 269 492-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISHNA M. JAIN
  • NPI Number: 1487619136
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2023390
LAB Type Physician Office
Facility Name PARAGON HEALTH PC DBA ADVANCED VASCULAR SURGERY
Street 1815 HENSON AVE
City KALAMAZOO
State MI
ZIP 49048
Phone 269 492-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director KRISHNA M. JAIN

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