23D0701623 CLIA NUMBER - WAYNE HEALTH - DETROIT MACK HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0701623
  • Facility Name: WAYNE HEALTH - DETROIT MACK HEALTH CENTER
  • Facility Address: 400 MACK AVENUE 2ND FLOOR
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 448-9656
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES H. SONDHEIMER
  • NPI Number: 1346289147
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 23D0701623
LAB Type Physician Office
Facility Name WAYNE HEALTH - DETROIT MACK HEALTH CENTER
Street 400 MACK AVENUE 2ND FLOOR
City DETROIT
State MI
ZIP 48201
Phone 313 448-9656
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director JAMES H. SONDHEIMER

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