23D1075788 CLIA NUMBER - COREWELL HEALTH FAMILY MEDICINE - 15540 BEECH DALY RD

Laboratory Demographics

  • CLIA Code: 23D1075788
  • Facility Name: COREWELL HEALTH FAMILY MEDICINE - 15540 BEECH DALY RD
  • Facility Address: 15540 BEECH DALY ROAD
    REDFORD, MI
    ZIP 48239
  • Facility Phone: 313 387-5253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN D. KOHL
  • NPI Number: 1720593478
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 23D1075788
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY MEDICINE - 15540 BEECH DALY RD
Street 15540 BEECH DALY ROAD
City REDFORD
State MI
ZIP 48239
Phone 313 387-5253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director STEVEN D. KOHL

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