23D0898913 CLIA NUMBER - ASCENSION MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 23D0898913
  • Facility Name: ASCENSION MEDICAL GROUP
  • Facility Address: 30055 NORTHWESTERN HIGHWAY SUITE 270
    FARMINGTON HILLS, MI
    ZIP 48334
  • Facility Phone: 248 865-4220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY D. MOORE
  • NPI Number: 1437233434
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D0898913
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP
Street 30055 NORTHWESTERN HIGHWAY SUITE 270
City FARMINGTON HILLS
State MI
ZIP 48334
Phone 248 865-4220
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director KIMBERLY D. MOORE

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