23D0943559 CLIA NUMBER - GREENFIELD HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 23D0943559
  • Facility Name: GREENFIELD HEALTH SYSTEMS
  • Facility Address: 19001 HUBBARD DRIVE
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 441-1160
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANTHI NIMMAGADDA
  • NPI Number: 1568482958
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0943559
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREENFIELD HEALTH SYSTEMS
Street 19001 HUBBARD DRIVE
City DEARBORN
State MI
ZIP 48126
Phone 313 441-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANTHI NIMMAGADDA

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