36D2067195 CLIA NUMBER - BRAVIA DERMATOLOGY GROUP, LLC HOLLAND

Laboratory Demographics

  • CLIA Code: 36D2067195
  • Facility Name: BRAVIA DERMATOLOGY GROUP, LLC HOLLAND
  • Facility Address: 7050 SPRING MEADOWS DRIVE WEST
    HOLLAND, OH
    ZIP 43528
  • Facility Phone: 419 948-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MATTHEW MOLENDA
  • NPI Number: 1356884837
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2067195
LAB Type Physician Office
Facility Name BRAVIA DERMATOLOGY GROUP, LLC HOLLAND
Street 7050 SPRING MEADOWS DRIVE WEST
City HOLLAND
State OH
ZIP 43528
Phone 419 948-3376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director MATTHEW MOLENDA

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