23D2193487 CLIA NUMBER - WOODLAND TERRACE OF BRIDGMAN

Laboratory Demographics

  • CLIA Code: 23D2193487
  • Facility Name: WOODLAND TERRACE OF BRIDGMAN
  • Facility Address: 8850 RED ARROW HIGHWAY
    BRIDGMAN, MI
    ZIP 49106
  • Facility Phone: (574) 261-1124
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TODD DOCKERTY
  • NPI Number: 1164623385
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2193487
LAB Type Assisted Living Facility
Facility Name WOODLAND TERRACE OF BRIDGMAN
Street 8850 RED ARROW HIGHWAY
City BRIDGMAN
State MI
ZIP 49106
Phone 5742611124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Assisted Living Facility
Lab Director TODD DOCKERTY

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This page was last updated on: 5/18/2026