23D1015128 CLIA NUMBER - LIFECYCLES OBSTETRICS & GYNECOLOGY PC

Laboratory Demographics

CLIA Number: 23D1015128

Facility Name: LIFECYCLES OBSTETRICS & GYNECOLOGY PC

Facility Address:
31410 NORTHWESTERN HIGHWAY SUITE A
FARMINGTON HILLS, MI
ZIP 48334
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Facility Phone Number: 248 702-6139

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275838708

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 23D1015128
LAB Type Physician Office
Facility Name LIFECYCLES OBSTETRICS & GYNECOLOGY PC
Street 31410 NORTHWESTERN HIGHWAY SUITE A
City FARMINGTON HILLS
State MI
ZIP 48334
Phone 248 702-6139
CertificateType 4
CertificateEffectiveDate 8/12/2022
CertificateExpirationDate 8/11/2024
FacilityType Waiver

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