23D0374830 CLIA NUMBER - MEDICAL CLINIC OF NORTHVILLE

Laboratory Demographics

  • CLIA Code: 23D0374830
  • Facility Name: MEDICAL CLINIC OF NORTHVILLE
  • Facility Address: 308 S MAIN STREET
    NORTHVILLE, MI
    ZIP 48167
  • Facility Phone: 248 349-1900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ROSS SUMMERS
  • NPI Number: 1295865954
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0374830
LAB Type Physician Office
Facility Name MEDICAL CLINIC OF NORTHVILLE
Street 308 S MAIN STREET
City NORTHVILLE
State MI
ZIP 48167
Phone 248 349-1900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ROSS SUMMERS

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