23D0716647 CLIA NUMBER - WEST BLOOMFIELD NURSING CENTER

Laboratory Demographics

  • CLIA Code: 23D0716647
  • Facility Name: WEST BLOOMFIELD NURSING CENTER
  • Facility Address: 6445 W MAPLE RD
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 313 661-1600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: RICHARD W. MCCUNE
  • NPI Number: 1992919203
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0716647
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST BLOOMFIELD NURSING CENTER
Street 6445 W MAPLE RD
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 313 661-1600
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD W. MCCUNE

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