23D0859760 CLIA NUMBER - QUARRY PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 23D0859760
  • Facility Name: QUARRY PHYSICIANS, PC
  • Facility Address: 17740 FORT ST
    RIVERVIEW, MI
    ZIP 48193
  • Facility Phone: 313 284-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODNEY H. POLING
  • NPI Number: 1780853424
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0859760
LAB Type Physician Office
Facility Name QUARRY PHYSICIANS, PC
Street 17740 FORT ST
City RIVERVIEW
State MI
ZIP 48193
Phone 313 284-0700
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 Physician Office
Lab Director RODNEY H. POLING

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