23D1012155 CLIA NUMBER - HENRY FORD MACOMB FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D1012155
  • Facility Name: HENRY FORD MACOMB FAMILY MEDICINE
  • Facility Address: 51221 SCHOENHERR ROAD SUITE 201
    SHELBY TOWNSHIP, MI
    ZIP 48315
  • Facility Phone: 586 323-4450
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ANGELA T. WILSON
  • NPI Number: 1023446176
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1012155
LAB Type Ancillary Testing Site in Health Care Center
Facility Name HENRY FORD MACOMB FAMILY MEDICINE
Street 51221 SCHOENHERR ROAD SUITE 201
City SHELBY TOWNSHIP
State MI
ZIP 48315
Phone 586 323-4450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ANGELA T. WILSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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