23D0865479 CLIA NUMBER - HENRY FORD INTERNAL MEDICINE - GROSSE POINTE WOODS

Laboratory Demographics

  • CLIA Code: 23D0865479
  • Facility Name: HENRY FORD INTERNAL MEDICINE - GROSSE POINTE WOODS
  • Facility Address: 19251 MACK AVENUE SUITE 333
    GROSSE POINTE WOODS, MI
    ZIP 48236
  • Facility Phone: 313 343-7280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH BANKSTAHL
  • NPI Number: 1730264003
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D0865479
LAB Type Physician Office
Facility Name HENRY FORD INTERNAL MEDICINE - GROSSE POINTE WOODS
Street 19251 MACK AVENUE SUITE 333
City GROSSE POINTE WOODS
State MI
ZIP 48236
Phone 313 343-7280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director ELIZABETH BANKSTAHL

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