23D2024426 CLIA NUMBER - CHARLES AND VIRGINIA HICKMAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 23D2024426
  • Facility Name: CHARLES AND VIRGINIA HICKMAN HOSPITAL
  • Facility Address: 5640 N ADRIAN HIGHWAY
    ADRIAN, MI
    ZIP 49221
  • Facility Phone: 517 577-0391
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: SHANNON BIELIAUSKAS
  • NPI Number: 1801364336
  • Taxonomy: 175T00000X - Peer Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2024426
LAB Type Hospital
Facility Name CHARLES AND VIRGINIA HICKMAN HOSPITAL
Street 5640 N ADRIAN HIGHWAY
City ADRIAN
State MI
ZIP 49221
Phone 517 577-0391
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 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Hospital
Lab Director SHANNON BIELIAUSKAS

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