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23D1006055 CLIA NUMBER - MICHIGAN ENDOSCOPY CENTER, LLC

Laboratory Demographics

CLIA Number: 23D1006055

Facility Name: MICHIGAN ENDOSCOPY CENTER, LLC

Facility Address:
30055 NORTHWESTERN HIGHWAY, SUITE L60
FARMINGTON HILLS, MI
ZIP 48334
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Facility Phone Number: 877 442-3687

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1538457882

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 23D1006055
LAB Type Ambulatory Surgery Center
Facility Name MICHIGAN ENDOSCOPY CENTER, LLC
Street 30055 NORTHWESTERN HIGHWAY, SUITE L60
City FARMINGTON HILLS
State MI
ZIP 48334
Phone 877 442-3687
CertificateType 4
CertificateEffectiveDate 11/6/2022
CertificateExpirationDate 11/5/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024