23D1028314 CLIA NUMBER - CARDIOVASCULAR INSTITUTE OF MICHIGAN PC

Laboratory Demographics

  • CLIA Code: 23D1028314
  • Facility Name: CARDIOVASCULAR INSTITUTE OF MICHIGAN PC
  • Facility Address: 18303 TEN MILE ROAD SUITE 100
    ROSEVILLE, MI
    ZIP 48066
  • Facility Phone: 586 776-8877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA M. CHERRO
  • NPI Number: 1154350890
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1028314
LAB Type Physician Office
Facility Name CARDIOVASCULAR INSTITUTE OF MICHIGAN PC
Street 18303 TEN MILE ROAD SUITE 100
City ROSEVILLE
State MI
ZIP 48066
Phone 586 776-8877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director TINA M. CHERRO

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This page was last updated on: 3/20/2025