23D2019642 CLIA NUMBER - NICOLOFF HOLISTIC FAMILY MEDICINE GEORGE M NICOLOFF MD PC

Laboratory Demographics

  • CLIA Code: 23D2019642
  • Facility Name: NICOLOFF HOLISTIC FAMILY MEDICINE GEORGE M NICOLOFF MD PC
  • Facility Address: 15510 FARMINGTON ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 248 615-3564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE M. NICOLOFF
  • NPI Number: 1871890251
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2019642
LAB Type Physician Office
Facility Name NICOLOFF HOLISTIC FAMILY MEDICINE GEORGE M NICOLOFF MD PC
Street 15510 FARMINGTON ROAD
City LIVONIA
State MI
ZIP 48154
Phone 248 615-3564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director GEORGE M. NICOLOFF

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