23D2104417 CLIA NUMBER - BEAR RIVER HEALTH

Laboratory Demographics

  • CLIA Code: 23D2104417
  • Facility Name: BEAR RIVER HEALTH
  • Facility Address: 2594 SPRINGVALE ROAD
    BOYNE FALLS, MI
    ZIP 49713
  • Facility Phone: 231 394-0492
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRETT ROBERTS
  • NPI Number: 1235478363
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2104417
LAB Type Practitioner Other
Facility Name BEAR RIVER HEALTH
Street 2594 SPRINGVALE ROAD
City BOYNE FALLS
State MI
ZIP 49713
Phone 231 394-0492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Practitioner Other
Lab Director BRETT ROBERTS

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