23D2205134 CLIA NUMBER - NEWBERRY ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D2205134
  • Facility Name: NEWBERRY ASSISTED LIVING
  • Facility Address: 7966 PAMELA LANE
    NEWBERRY, MI
    ZIP 49868
  • Facility Phone: 906 293-0200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIM BYRWA
  • NPI Number: 1447514385
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2205134
LAB Type Assisted Living Facility
Facility Name NEWBERRY ASSISTED LIVING
Street 7966 PAMELA LANE
City NEWBERRY
State MI
ZIP 49868
Phone 906 293-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Assisted Living Facility
Lab Director TIM BYRWA

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