23D0876745 CLIA NUMBER - WEST BLOOMFIELD SNF, LLC

Laboratory Demographics

  • CLIA Code: 23D0876745
  • Facility Name: WEST BLOOMFIELD SNF, LLC
  • Facility Address: 6950 FARMINGTON ROAD
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 248 661-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATTIE JOHNSON
  • NPI Number: 1255820890
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0876745
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST BLOOMFIELD SNF, LLC
Street 6950 FARMINGTON ROAD
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 248 661-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MATTIE JOHNSON

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