23D1035306 CLIA NUMBER - WEST BLOOMFIELD SURGERY CENTER LLC DBA THE LAKES SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D1035306
  • Facility Name: WEST BLOOMFIELD SURGERY CENTER LLC DBA THE LAKES SURGERY CENTER
  • Facility Address: 2300 HAGGERTY ROAD SUITE 1000
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 248 896-6300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN S. NEFF
  • NPI Number: 1679526297
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1035306
LAB Type Ambulatory Surgery Center
Facility Name WEST BLOOMFIELD SURGERY CENTER LLC DBA THE LAKES SURGERY CENTER
Street 2300 HAGGERTY ROAD SUITE 1000
City WEST BLOOMFIELD
State MI
ZIP 48323
Phone 248 896-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Ambulatory Surgery Center
Lab Director KEVIN S. NEFF

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