23D1107849 CLIA NUMBER - FERNDALE FREE CLINIC, INC

Laboratory Demographics

  • CLIA Code: 23D1107849
  • Facility Name: FERNDALE FREE CLINIC, INC
  • Facility Address: 751 E 9 MILE ROAD SUITE 2
    FERNDALE, MI
    ZIP 48220
  • Facility Phone: 248 677-2273
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANN HELER
  • NPI Number: 1134512528
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1107849
LAB Type Community Clinic
Facility Name FERNDALE FREE CLINIC, INC
Street 751 E 9 MILE ROAD SUITE 2
City FERNDALE
State MI
ZIP 48220
Phone 248 677-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Community Clinic
Lab Director ANN HELER

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