23D0890097 CLIA NUMBER - BLOOMFIELD HILLS SNF, LLC

Laboratory Demographics

  • CLIA Code: 23D0890097
  • Facility Name: BLOOMFIELD HILLS SNF, LLC
  • Facility Address: 2975 N ADAMS ROAD
    BLOOMFIELD HILLS, MI
    ZIP 48304
  • Facility Phone: 249 645-2900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LACRISA JACKSON
  • NPI Number: 1720262348
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 23D0890097
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLOOMFIELD HILLS SNF, LLC
Street 2975 N ADAMS ROAD
City BLOOMFIELD HILLS
State MI
ZIP 48304
Phone 249 645-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LACRISA JACKSON

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