23D0036521 CLIA NUMBER - HENRY FORD LABORATORY DETROIT NORTHWEST

Laboratory Demographics

CLIA Number: 23D0036521

Facility Name: HENRY FORD LABORATORY DETROIT NORTHWEST

Facility Address:
7800 WEST OUTER DRIVE
DETROIT, MI
ZIP 48235
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Facility Phone Number: 313 653-2130

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1982744538

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	23D0036521
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	HENRY FORD LABORATORY DETROIT NORTHWEST
Street	7800 WEST OUTER DRIVE
City	DETROIT
State	MI
ZIP	48235
Phone	313 653-2130
CertificateType	1
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Accreditation

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