23D0914197 CLIA NUMBER - COREWELL HEALTH DEARBORN HOSP INTERNAL MEDICINE - 17000 HUBBARD DR

Laboratory Demographics

  • CLIA Code: 23D0914197
  • Facility Name: COREWELL HEALTH DEARBORN HOSP INTERNAL MEDICINE - 17000 HUBBARD DR
  • Facility Address: 17000 HUBBARD DRIVE
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 982-4351
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: VIJAYALASKSHMI ARUNACHALAM
  • NPI Number: 1609938836
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0914197
LAB Type Ancillary Testing Site in Health Care Center
Facility Name COREWELL HEALTH DEARBORN HOSP INTERNAL MEDICINE - 17000 HUBBARD DR
Street 17000 HUBBARD DRIVE
City DEARBORN
State MI
ZIP 48126
Phone 313 982-4351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director VIJAYALASKSHMI ARUNACHALAM

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