23D0369904 CLIA NUMBER - FAMILY CARE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 23D0369904
  • Facility Name: FAMILY CARE MEDICAL CENTER
  • Facility Address: 5831 W VERNOR
    DETROIT, MI
    ZIP 48209
  • Facility Phone: 313 842-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY Y. MCKAY
  • NPI Number: 1326235250
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0369904
LAB Type Physician Office
Facility Name FAMILY CARE MEDICAL CENTER
Street 5831 W VERNOR
City DETROIT
State MI
ZIP 48209
Phone 313 842-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director WENDY Y. MCKAY

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