23D2140913 CLIA NUMBER - COLMARE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2140913
  • Facility Name: COLMARE DIALYSIS
  • Facility Address: 6302 DIXIE HIGHWAY
    BRIDGEPORT, MI
    ZIP 48722
  • Facility Phone: 989 777-0780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OWOLABI OGUNNEYE
  • NPI Number: 1891204558
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2140913
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLMARE DIALYSIS
Street 6302 DIXIE HIGHWAY
City BRIDGEPORT
State MI
ZIP 48722
Phone 989 777-0780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OWOLABI OGUNNEYE

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