23D1079094 CLIA NUMBER - ORCHARDVIEW PHYSICIANS

Laboratory Demographics

  • CLIA Code: 23D1079094
  • Facility Name: ORCHARDVIEW PHYSICIANS
  • Facility Address: 12150 30 MILE ROAD SUITE 101
    WASHINGTON, MI
    ZIP 48095
  • Facility Phone: 586 752-7256
  • Facility Type: Other - URGENT FAMILY CARE
  • Facility Type: Waiver
  • Lab Director: PHILIP M. O HALLORAN
  • NPI Number: 1649435256
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1079094
LAB Type Other - URGENT FAMILY CARE
Facility Name ORCHARDVIEW PHYSICIANS
Street 12150 30 MILE ROAD SUITE 101
City WASHINGTON
State MI
ZIP 48095
Phone 586 752-7256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Other - URGENT FAMILY CARE
Lab Director PHILIP M. O HALLORAN

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