23D0980579 CLIA NUMBER - COREWELL HEALTH

Laboratory Demographics

  • CLIA Code: 23D0980579
  • Facility Name: COREWELL HEALTH
  • Facility Address: 3601 W 13 MILE ROAD
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 898-6304
  • Facility Type: Other - OBSTETRICAL TRIAGE
  • Facility Type: Microscopy
  • Lab Director: KURT R. WHARTON
  • NPI Number: 1154596682
  • Taxonomy: 3336M0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D0980579
LAB Type Other - OBSTETRICAL TRIAGE
Facility Name COREWELL HEALTH
Street 3601 W 13 MILE ROAD
City ROYAL OAK
State MI
ZIP 48073
Phone 248 898-6304
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Other - OBSTETRICAL TRIAGE
Lab Director KURT R. WHARTON

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