23D1078718 CLIA NUMBER - HENRY FORD MACOMB INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 23D1078718
  • Facility Name: HENRY FORD MACOMB INTERNAL MEDICINE
  • Facility Address: 13801 15 MILE ROAD
    STERLING HEIGHTS, MI
    ZIP 48312
  • Facility Phone: 586 757-9707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMITHA ARAVAPALLY
  • NPI Number: 1649594326
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1078718
LAB Type Physician Office
Facility Name HENRY FORD MACOMB INTERNAL MEDICINE
Street 13801 15 MILE ROAD
City STERLING HEIGHTS
State MI
ZIP 48312
Phone 586 757-9707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director AMITHA ARAVAPALLY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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