23D1075551 CLIA NUMBER - MACOMB REGIONAL DIALYSIS CENTERS

Laboratory Demographics

  • CLIA Code: 23D1075551
  • Facility Name: MACOMB REGIONAL DIALYSIS CENTERS
  • Facility Address: 16151 NINETEEN MILE ROAD SUITE 200
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Facility Phone: (248) 642-5038
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABDUL EFFENDI
  • NPI Number: 1689870594
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1075551
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MACOMB REGIONAL DIALYSIS CENTERS
Street 16151 NINETEEN MILE ROAD SUITE 200
City CLINTON TOWNSHIP
State MI
ZIP 48038
Phone 2486425038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABDUL EFFENDI

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This page was last updated on: 5/15/2026