23D0871850 CLIA NUMBER - CARDIOVASCULAR CLINICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 23D0871850
  • Facility Name: CARDIOVASCULAR CLINICAL ASSOCIATES
  • Facility Address: 17880 FARMINGTON ROAD
    LIVONIA, MI
    ZIP 48152
  • Facility Phone: 248 615-7315
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. RASAK
  • NPI Number: 1154392132
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0871850
LAB Type Physician Office
Facility Name CARDIOVASCULAR CLINICAL ASSOCIATES
Street 17880 FARMINGTON ROAD
City LIVONIA
State MI
ZIP 48152
Phone 248 615-7315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director MARK A. RASAK

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This page was last updated on: 6/4/2025