23D0969984 CLIA NUMBER - ENGLISH VILLAGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D0969984
  • Facility Name: ENGLISH VILLAGE DIALYSIS
  • Facility Address: 11707 WHITTIER AVENUE
    DETROIT, MI
    ZIP 48224
  • Facility Phone: 313 509-1653
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NKIE F. FORSAC
  • NPI Number: 1972564490
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0969984
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ENGLISH VILLAGE DIALYSIS
Street 11707 WHITTIER AVENUE
City DETROIT
State MI
ZIP 48224
Phone 313 509-1653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NKIE F. FORSAC

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