23D2015868 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONALS DBA VITAL MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2015868
  • Facility Name: MICHIGAN HEALTHCARE PROFESSIONALS DBA VITAL MEDICINE
  • Facility Address: 37595 SEVEN MILE ROAD SUITE 240
    LIVONIA, MI
    ZIP 48152
  • Facility Phone: 248 851-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALA SHUKER
  • NPI Number: 1023588910
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 23D2015868
LAB Type Physician Office
Facility Name MICHIGAN HEALTHCARE PROFESSIONALS DBA VITAL MEDICINE
Street 37595 SEVEN MILE ROAD SUITE 240
City LIVONIA
State MI
ZIP 48152
Phone 248 851-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director ALA SHUKER

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