23D2019826 CLIA NUMBER - ASCENSION MEDICAL GROUP MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D2019826
  • Facility Name: ASCENSION MEDICAL GROUP MICHIGAN
  • Facility Address: 26850 PROVIDENCE PARKWAY SUITE 520
    NOVI, MI
    ZIP 48374
  • Facility Phone: 248 331-4699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAJAH RASSAM
  • NPI Number: 1043385909
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D2019826
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP MICHIGAN
Street 26850 PROVIDENCE PARKWAY SUITE 520
City NOVI
State MI
ZIP 48374
Phone 248 331-4699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director NAJAH RASSAM

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