23D0371033 CLIA NUMBER - HEALTH CENTERS DETROIT MEDICAL GROUP

Laboratory Demographics

CLIA Number: 23D0371033

Facility Name: HEALTH CENTERS DETROIT MEDICAL GROUP

Facility Address:
23077 GREENFIELD ROAD SUITE 400
SOUTHFIELD, MI
ZIP 48075
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Facility Phone Number: 313 822-9801

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518026541

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0371033
LAB Type	Physician Office
Facility Name	HEALTH CENTERS DETROIT MEDICAL GROUP
Street	23077 GREENFIELD ROAD SUITE 400
City	SOUTHFIELD
State	MI
ZIP	48075
Phone	313 822-9801
CertificateType	3
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	PPMP

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