23D2278118 CLIA NUMBER - BRONSON AMBULATORY SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 23D2278118

Facility Name: BRONSON AMBULATORY SURGERY CENTER, LLC

Facility Address:
6263 BEATRICE DRIVE
KALAMAZOO, MI
ZIP 49009
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Facility Phone Number: 269 352-8911

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1972223394

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2278118
LAB Type	Ambulatory Surgery Center
Facility Name	BRONSON AMBULATORY SURGERY CENTER, LLC
Street	6263 BEATRICE DRIVE
City	KALAMAZOO
State	MI
ZIP	49009
Phone	269 352-8911
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024