23D1106753 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONALS PC

Laboratory Demographics

CLIA Number: 23D1106753

Facility Name: MICHIGAN HEALTHCARE PROFESSIONALS PC

Facility Address:
1310 N STEPHENSON HWY
ROYAL OAK, MI
ZIP 48067
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Facility Phone Number: 248 658-7505

Facility Type: Other

Certificate Type: Accreditation

NPI Number: 1376053108

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	23D1106753
LAB Type	Other
Facility Name	MICHIGAN HEALTHCARE PROFESSIONALS PC
Street	1310 N STEPHENSON HWY
City	ROYAL OAK
State	MI
ZIP	48067
Phone	248 658-7505
CertificateType	1
CertificateEffectiveDate	6/30/2022
CertificateExpirationDate	6/29/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024