23D2019008 CLIA NUMBER - R A H S YPSILANTI WELLNESS CENTER

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Laboratory Demographics

CLIA Number: 23D2019008

Facility Name: R A H S YPSILANTI WELLNESS CENTER

Facility Address:
2095 PACKARD ROAD
YPSILANTI, MI
ZIP 48197
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Facility Phone Number: 734 763-9932

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1467830596

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2019008
LAB Type	School/Student Health Service
Facility Name	R A H S YPSILANTI WELLNESS CENTER
Street	2095 PACKARD ROAD
City	YPSILANTI
State	MI
ZIP	48197
Phone	734 763-9932
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024