23D2318378 CLIA NUMBER - BAY MILLS CHILD ADVOCACY CENTER

Laboratory Demographics

  • CLIA Code: 23D2318378
  • Facility Name: BAY MILLS CHILD ADVOCACY CENTER
  • Facility Address: 3095 S TOWERING PINES SUITE 2
    BRIMLEY, MI
    ZIP 49715
  • Facility Phone: 906 248-8586
  • Facility Type: Other - SOCIAL SERVICES
  • Facility Type: Waiver
  • Lab Director: LEONID CHUGUNOV
  • NPI Number: 1053592089
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2318378
LAB Type Other - SOCIAL SERVICES
Facility Name BAY MILLS CHILD ADVOCACY CENTER
Street 3095 S TOWERING PINES SUITE 2
City BRIMLEY
State MI
ZIP 49715
Phone 906 248-8586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - SOCIAL SERVICES
Lab Director LEONID CHUGUNOV

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