23D0709085 CLIA NUMBER - COREWELL HEALTH INTERNAL MEDICINE - MIDWAY

Laboratory Demographics

  • CLIA Code: 23D0709085
  • Facility Name: COREWELL HEALTH INTERNAL MEDICINE - MIDWAY
  • Facility Address: 555 BARCLAY CIRCLE SUITE 150
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 299-5777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAILAJA RASTOGI
  • NPI Number: 1720207798
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0709085
LAB Type Physician Office
Facility Name COREWELL HEALTH INTERNAL MEDICINE - MIDWAY
Street 555 BARCLAY CIRCLE SUITE 150
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 299-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director SHAILAJA RASTOGI

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