23D1012157 CLIA NUMBER - CLASSIC HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 23D1012157
  • Facility Name: CLASSIC HOME CARE, INC
  • Facility Address: 114 RAYSON STREET SUITE 2A
    NORTHVILLE, MI
    ZIP 48167
  • Facility Phone: 248 615-3524
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KRISTY BOYLL
  • NPI Number: 1578696712
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D1012157
LAB Type Home Health Agency
Facility Name CLASSIC HOME CARE, INC
Street 114 RAYSON STREET SUITE 2A
City NORTHVILLE
State MI
ZIP 48167
Phone 248 615-3524
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 Home Health Agency
Lab Director KRISTY BOYLL

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