23D0857705 CLIA NUMBER - FAMILY CARE PHYSICIANS

Laboratory Demographics

CLIA Number: 23D0857705

Facility Name: FAMILY CARE PHYSICIANS

Facility Address:
39500 W 10 MILE ROAD STE 100
NOVI, MI
ZIP 48375
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Facility Phone Number: 248 476-0035

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1043204274

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0857705
LAB Type	Physician Office
Facility Name	FAMILY CARE PHYSICIANS
Street	39500 W 10 MILE ROAD STE 100
City	NOVI
State	MI
ZIP	48375
Phone	248 476-0035
CertificateType	2
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024