23D2028847 CLIA NUMBER - GREAT LAKES MEDICAL LABORATORIES INC

Laboratory Demographics

  • CLIA Code: 23D2028847
  • Facility Name: GREAT LAKES MEDICAL LABORATORIES INC
  • Facility Address: 13530 MICHIGAN AVENUE SUITE 248
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 436-4372
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: WINSTON M. HTWE
  • NPI Number: 1114055662
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2028847
LAB Type Independent
Facility Name GREAT LAKES MEDICAL LABORATORIES INC
Street 13530 MICHIGAN AVENUE SUITE 248
City DEARBORN
State MI
ZIP 48126
Phone 313 436-4372
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Independent
Lab Director WINSTON M. HTWE

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