23D0369628 CLIA NUMBER - WELLNESS PLAN,THE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 23D0369628
  • Facility Name: WELLNESS PLAN,THE MEDICAL CENTER
  • Facility Address: 21040 GREENFIELD
    OAK PARK, MI
    ZIP 48237
  • Facility Phone: 248 967-6500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TIFFANY L. SANFORD
  • NPI Number: 1902262728
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0369628
LAB Type Federally Qualified Health Center
Facility Name WELLNESS PLAN,THE MEDICAL CENTER
Street 21040 GREENFIELD
City OAK PARK
State MI
ZIP 48237
Phone 248 967-6500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Federally Qualified Health Center
Lab Director TIFFANY L. SANFORD

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