23D2223069 CLIA NUMBER - BRONSON LAKEVIEW HOSPITAL ANCILLARY TESTING

Laboratory Demographics

  • CLIA Code: 23D2223069
  • Facility Name: BRONSON LAKEVIEW HOSPITAL ANCILLARY TESTING
  • Facility Address: 408 HAZEN STREET
    PAW PAW, MI
    ZIP 49079
  • Facility Phone: 269 657-3141
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KARLA DUNNING
  • NPI Number: 1962508259
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D2223069
LAB Type Hospital
Facility Name BRONSON LAKEVIEW HOSPITAL ANCILLARY TESTING
Street 408 HAZEN STREET
City PAW PAW
State MI
ZIP 49079
Phone 269 657-3141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Hospital
Lab Director KARLA DUNNING

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