23D0894248 CLIA NUMBER - WILLIAM L JORDAN, MD

Laboratory Demographics

  • CLIA Code: 23D0894248
  • Facility Name: WILLIAM L JORDAN, MD
  • Facility Address: 12900 WEST NINE MILE
    OAK PARK, MI
    ZIP 48237
  • Facility Phone: 248 547-9292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM L. JORDAN MD
  • NPI Number: 1497744932
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0894248
LAB Type Physician Office
Facility Name WILLIAM L JORDAN, MD
Street 12900 WEST NINE MILE
City OAK PARK
State MI
ZIP 48237
Phone 248 547-9292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director WILLIAM L. JORDAN MD

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