23D2005671 CLIA NUMBER - SOUTH REDFORD SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D2005671
  • Facility Name: SOUTH REDFORD SCHOOL BASED HEALTH CENTER
  • Facility Address: 25605 ORANGELAWN PIERCE MIDDLE SCHOOL
    REDFORD TWP, MI
    ZIP 48239
  • Facility Phone: 313 242-0570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN KOHL
  • NPI Number: 1629392576
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2005671
LAB Type Physician Office
Facility Name SOUTH REDFORD SCHOOL BASED HEALTH CENTER
Street 25605 ORANGELAWN PIERCE MIDDLE SCHOOL
City REDFORD TWP
State MI
ZIP 48239
Phone 313 242-0570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director STEVEN KOHL

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