23D2000265 CLIA NUMBER - WOMEN'S LIFE CYCLES OB GYN

Laboratory Demographics

  • CLIA Code: 23D2000265
  • Facility Name: WOMEN'S LIFE CYCLES OB GYN
  • Facility Address: 5820 N CANTON CENTER ROAD SUITE 120
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 981-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTHI R. NICHANAMETLA
  • NPI Number: 1922335488
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D2000265
LAB Type Physician Office
Facility Name WOMEN'S LIFE CYCLES OB GYN
Street 5820 N CANTON CENTER ROAD SUITE 120
City CANTON
State MI
ZIP 48187
Phone 734 981-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director JYOTHI R. NICHANAMETLA

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