23D0665138 CLIA NUMBER - HENRY FORD PROVIDENCE HOSPITAL RESPIRATORY CARE DEPARTMENT BLOOD GAS LAB

Laboratory Demographics

  • CLIA Code: 23D0665138
  • Facility Name: HENRY FORD PROVIDENCE HOSPITAL RESPIRATORY CARE DEPARTMENT BLOOD GAS LAB
  • Facility Address: 16001 WEST 9 MILE ROAD RESPIRATORY CARE 2ND FLOOR SETON
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 849-3161
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. WASEEM FARRA
  • NPI Number: 1649652686
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0665138
LAB Type Hospital
Facility Name HENRY FORD PROVIDENCE HOSPITAL RESPIRATORY CARE DEPARTMENT BLOOD GAS LAB
Street 16001 WEST 9 MILE ROAD RESPIRATORY CARE 2ND FLOOR SETON
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 849-3161
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Hospital
Lab Director DR. WASEEM FARRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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