23D2261468 CLIA NUMBER - BAYSIDE WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 23D2261468
  • Facility Name: BAYSIDE WELLNESS, LLC
  • Facility Address: 236 1/2 E FRONT ST SUITE 6
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 946-6000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARK A. LANGLOIS
  • NPI Number: 1548904618
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2261468
LAB Type Home Health Agency
Facility Name BAYSIDE WELLNESS, LLC
Street 236 1/2 E FRONT ST SUITE 6
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 946-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Home Health Agency
Lab Director MARK A. LANGLOIS

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