23D0978663 CLIA NUMBER - SCOTSDALE WOMEN'S CENTER

Laboratory Demographics

  • CLIA Code: 23D0978663
  • Facility Name: SCOTSDALE WOMEN'S CENTER
  • Facility Address: 19305 W 7 MILE ROAD
    DETROIT, MI
    ZIP 48219
  • Facility Phone: 313 538-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT J. EGAN
  • NPI Number: 1962626291
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0978663
LAB Type Ambulatory Surgery Center
Facility Name SCOTSDALE WOMEN'S CENTER
Street 19305 W 7 MILE ROAD
City DETROIT
State MI
ZIP 48219
Phone 313 538-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT J. EGAN

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