23D0672699 CLIA NUMBER - EDWARD C BUSH MD

Laboratory Demographics

  • CLIA Code: 23D0672699
  • Facility Name: EDWARD C BUSH MD
  • Facility Address: 14241 PENNSYLVANIA ROAD
    RIVERVIEW, MI
    ZIP 48192
  • Facility Phone: 313 284-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD C. BUSH
  • NPI Number: 1346445699
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0672699
LAB Type Physician Office
Facility Name EDWARD C BUSH MD
Street 14241 PENNSYLVANIA ROAD
City RIVERVIEW
State MI
ZIP 48192
Phone 313 284-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director EDWARD C. BUSH

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