23D2307626 CLIA NUMBER - BAY CITY CENTRAL HIGH SCHOOL GLBHC

Laboratory Demographics

  • CLIA Code: 23D2307626
  • Facility Name: BAY CITY CENTRAL HIGH SCHOOL GLBHC
  • Facility Address: 1624 COLUMBUS AVENUE
    BAY CITY, MI
    ZIP 48708
  • Facility Phone: 989 297-3544
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRENT M. MAZE
  • NPI Number: 1346424009
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2307626
LAB Type Federally Qualified Health Center
Facility Name BAY CITY CENTRAL HIGH SCHOOL GLBHC
Street 1624 COLUMBUS AVENUE
City BAY CITY
State MI
ZIP 48708
Phone 989 297-3544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Federally Qualified Health Center
Lab Director BRENT M. MAZE

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