23D0979605 CLIA NUMBER - REGINA C SIMONE, DO

Laboratory Demographics

  • CLIA Code: 23D0979605
  • Facility Name: REGINA C SIMONE, DO
  • Facility Address: 42000 SIX MILE ROAD, SUITE 201
    NORTHVILLE, MI
    ZIP 48167
  • Facility Phone: 248 735-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REGINA C. SIMONE
  • NPI Number: 1992775969
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0979605
LAB Type Physician Office
Facility Name REGINA C SIMONE, DO
Street 42000 SIX MILE ROAD, SUITE 201
City NORTHVILLE
State MI
ZIP 48167
Phone 248 735-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director REGINA C. SIMONE

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