23D2184030 CLIA NUMBER - BRIDGMAN FIRE/RESCUE

Laboratory Demographics

  • CLIA Code: 23D2184030
  • Facility Name: BRIDGMAN FIRE/RESCUE
  • Facility Address: 9765 MAPLE STREET
    BRIDGMAN, MI
    ZIP 49106
  • Facility Phone: 269 465-3803
  • Facility Type: Other - MEDICAL FIRST RESPONDER
  • Facility Type: Waiver
  • Lab Director: JOEL E. BUIST
  • NPI Number: 1497965040
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 23D2184030
LAB Type Other - MEDICAL FIRST RESPONDER
Facility Name BRIDGMAN FIRE/RESCUE
Street 9765 MAPLE STREET
City BRIDGMAN
State MI
ZIP 49106
Phone 269 465-3803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - MEDICAL FIRST RESPONDER
Lab Director JOEL E. BUIST

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