23D0370794 CLIA NUMBER - SUMMIT WOMEN'S CENTER

Laboratory Demographics

  • CLIA Code: 23D0370794
  • Facility Name: SUMMIT WOMEN'S CENTER
  • Facility Address: 15801 W MCNICHOLS ROAD
    DETROIT, MI
    ZIP 48235
  • Facility Phone: (313) 272-8450
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ZOE RUSSELL
  • NPI Number: 1730456922
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 23D0370794
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT WOMEN'S CENTER
Street 15801 W MCNICHOLS ROAD
City DETROIT
State MI
ZIP 48235
Phone 3132728450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Ambulatory Surgery Center
Lab Director ZOE RUSSELL

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This page was last updated on: 5/15/2026