23D1088923 CLIA NUMBER - PHADIA IMMUNOLOGY REFERENCE LABORATORY

Laboratory Demographics

  • CLIA Code: 23D1088923
  • Facility Name: PHADIA IMMUNOLOGY REFERENCE LABORATORY
  • Facility Address: 4169 COMMERICAL AVENUE
    PORTAGE, MI
    ZIP 49002
  • Facility Phone: 800 346-4364
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. STEVEN J. DRURY
  • NPI Number: 1487979142
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D1088923
LAB Type Independent
Facility Name PHADIA IMMUNOLOGY REFERENCE LABORATORY
Street 4169 COMMERICAL AVENUE
City PORTAGE
State MI
ZIP 49002
Phone 800 346-4364
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Independent
Lab Director DR. STEVEN J. DRURY

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