23D0364938 CLIA NUMBER - MICHIGAN HEALTH CARE PROFESSIONALS, PC

Laboratory Demographics

  • CLIA Code: 23D0364938
  • Facility Name: MICHIGAN HEALTH CARE PROFESSIONALS, PC
  • Facility Address: 22250 PROVIDENCE DRIVE SUITE 210
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 569-4897
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID L. WENZLER
  • NPI Number: 1578734281
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 23D0364938
LAB Type Physician Office
Facility Name MICHIGAN HEALTH CARE PROFESSIONALS, PC
Street 22250 PROVIDENCE DRIVE SUITE 210
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 569-4897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID L. WENZLER

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