23D0942214 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONALS PC

Laboratory Demographics

  • CLIA Code: 23D0942214
  • Facility Name: MICHIGAN HEALTHCARE PROFESSIONALS PC
  • Facility Address: 24901 KELLY ROAD
    EASTPOINTE, MI
    ZIP 48021
  • Facility Phone: 810 772-9055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARDIK M. SHAH
  • NPI Number: 1316265150
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D0942214
LAB Type Physician Office
Facility Name MICHIGAN HEALTHCARE PROFESSIONALS PC
Street 24901 KELLY ROAD
City EASTPOINTE
State MI
ZIP 48021
Phone 810 772-9055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director HARDIK M. SHAH

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