23D0958825 CLIA NUMBER - DYNAMIC HOME CARE SERVICE INC

Laboratory Demographics

  • CLIA Code: 23D0958825
  • Facility Name: DYNAMIC HOME CARE SERVICE INC
  • Facility Address: 24001 SOUTHFIELD ROAD SUITE 205
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 905-5022
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SURESH M. RAMASAMY
  • NPI Number: 1528123684
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D0958825
LAB Type Home Health Agency
Facility Name DYNAMIC HOME CARE SERVICE INC
Street 24001 SOUTHFIELD ROAD SUITE 205
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 905-5022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Home Health Agency
Lab Director SURESH M. RAMASAMY

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