23D0977283 CLIA NUMBER - DOWNRIVER INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 23D0977283
  • Facility Name: DOWNRIVER INTERNAL MEDICINE
  • Facility Address: 14700 KING ROAD, SUITE A
    RIVERVIEW, MI
    ZIP 48193
  • Facility Phone: (734) 479-1944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE C. OOSTENDORP
  • NPI Number: 1417160698
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0977283
LAB Type Physician Office
Facility Name DOWNRIVER INTERNAL MEDICINE
Street 14700 KING ROAD, SUITE A
City RIVERVIEW
State MI
ZIP 48193
Phone 7344791944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director MICHELLE C. OOSTENDORP

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This page was last updated on: 5/18/2026