23D0898675 CLIA NUMBER - HOSPICE COMPASSUS - DETROIT

Laboratory Demographics

CLIA Number: 23D0898675

Facility Name: HOSPICE COMPASSUS - DETROIT

Facility Address:
30665 NORTHWESTERN HIGHWAY, STE 150
FARMINGTON HILLS, MI
ZIP 48334
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Facility Phone Number: 248 355-9900

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1114014305

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	23D0898675
LAB Type	Hospice
Facility Name	HOSPICE COMPASSUS - DETROIT
Street	30665 NORTHWESTERN HIGHWAY, STE 150
City	FARMINGTON HILLS
State	MI
ZIP	48334
Phone	248 355-9900
CertificateType	4
CertificateEffectiveDate	11/4/2023
CertificateExpirationDate	11/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024