23D2004363 CLIA NUMBER - MACOMB COUNTY MEDICAL CONTROL AUTHORITY

Laboratory Demographics

  • CLIA Code: 23D2004363
  • Facility Name: MACOMB COUNTY MEDICAL CONTROL AUTHORITY
  • Facility Address: 19176 HALL ROAD, STE 120
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Facility Phone: 586 792-1350
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBORAH A. CONDINO
  • NPI Number: 1194743898
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2004363
LAB Type Ambulance
Facility Name MACOMB COUNTY MEDICAL CONTROL AUTHORITY
Street 19176 HALL ROAD, STE 120
City CLINTON TOWNSHIP
State MI
ZIP 48038
Phone 586 792-1350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulance
Lab Director DEBORAH A. CONDINO

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