23D1055064 CLIA NUMBER - PERSONALIZE HOME CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 23D1055064
  • Facility Name: PERSONALIZE HOME CARE SERVICES LLC
  • Facility Address: 28021 SOUTHFIELD ROAD SUITE 200
    SOUTHFIELD, MI
    ZIP 48076
  • Facility Phone: 248 621-1111
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAVON BURT
  • NPI Number: 1306888714
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D1055064
LAB Type Home Health Agency
Facility Name PERSONALIZE HOME CARE SERVICES LLC
Street 28021 SOUTHFIELD ROAD SUITE 200
City SOUTHFIELD
State MI
ZIP 48076
Phone 248 621-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Home Health Agency
Lab Director LAVON BURT

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