23D2265751 CLIA NUMBER - SOUTHERN MICHIGAN INTEGRATED HEALTHCARE

Laboratory Demographics

  • CLIA Code: 23D2265751
  • Facility Name: SOUTHERN MICHIGAN INTEGRATED HEALTHCARE
  • Facility Address: 285 MCMAHON DRIVE
    BRONSON, MI
    ZIP 49028
  • Facility Phone: 517 369-2096
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIA S. SKAGGS
  • NPI Number: 1205560315
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2265751
LAB Type Physician Office
Facility Name SOUTHERN MICHIGAN INTEGRATED HEALTHCARE
Street 285 MCMAHON DRIVE
City BRONSON
State MI
ZIP 49028
Phone 517 369-2096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director JULIA S. SKAGGS

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