23D1074737 CLIA NUMBER - HENRY FORD TROY FAMILY CARE - DEQUINDRE ROAD

Laboratory Demographics

  • CLIA Code: 23D1074737
  • Facility Name: HENRY FORD TROY FAMILY CARE - DEQUINDRE ROAD
  • Facility Address: 41069 DEQUINDRE ROAD SUITE 103
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 844-4120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADA H. BACHURI
  • NPI Number: 1366465270
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1074737
LAB Type Physician Office
Facility Name HENRY FORD TROY FAMILY CARE - DEQUINDRE ROAD
Street 41069 DEQUINDRE ROAD SUITE 103
City TROY
State MI
ZIP 48085
Phone 248 844-4120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director NADA H. BACHURI

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