23D1097324 CLIA NUMBER - HOME CARE CONNECT INC

Laboratory Demographics

  • CLIA Code: 23D1097324
  • Facility Name: HOME CARE CONNECT INC
  • Facility Address: 33620 FIVE MILE ROAD SUITE B
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 313 541-1172
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WARREN C. MANGULABNAN
  • NPI Number: 1194951384
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D1097324
LAB Type Home Health Agency
Facility Name HOME CARE CONNECT INC
Street 33620 FIVE MILE ROAD SUITE B
City LIVONIA
State MI
ZIP 48154
Phone 313 541-1172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Home Health Agency
Lab Director WARREN C. MANGULABNAN

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