23D0686797 CLIA NUMBER - HENRY FORD HOSPITAL MAPLEGROVE

Laboratory Demographics

  • CLIA Code: 23D0686797
  • Facility Name: HENRY FORD HOSPITAL MAPLEGROVE
  • Facility Address: 6773 WEST MAPLE ROAD
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 248 661-6100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOSHUA S. SMITH
  • NPI Number: 1295767630
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0686797
LAB Type Hospital
Facility Name HENRY FORD HOSPITAL MAPLEGROVE
Street 6773 WEST MAPLE ROAD
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 248 661-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospital
Lab Director JOSHUA S. SMITH

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