23D0861968 CLIA NUMBER - TRINITY HEALTH HENDERSON ACADEMIC PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0861968
  • Facility Name: TRINITY HEALTH HENDERSON ACADEMIC PRIMARY CARE
  • Facility Address: 44428 WOODWARD AVENUE SUITE 102
    PONTIAC, MI
    ZIP 48341
  • Facility Phone: 248 858-3126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATIE ZECHAR
  • NPI Number: 1922105287
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D0861968
LAB Type Physician Office
Facility Name TRINITY HEALTH HENDERSON ACADEMIC PRIMARY CARE
Street 44428 WOODWARD AVENUE SUITE 102
City PONTIAC
State MI
ZIP 48341
Phone 248 858-3126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director KATIE ZECHAR

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