23D0901823 CLIA NUMBER - PARK FAMILY HEALTH CARE, PC

Laboratory Demographics

CLIA Number: 23D0901823

Facility Name: PARK FAMILY HEALTH CARE, PC

Facility Address:
12871 E JEFFERSON
DETROIT, MI
ZIP 48215
Get Directions

Facility Phone Number: 313 821-3900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437161437

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0901823
LAB Type	Physician Office
Facility Name	PARK FAMILY HEALTH CARE, PC
Street	12871 E JEFFERSON
City	DETROIT
State	MI
ZIP	48215
Phone	313 821-3900
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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