23D2038648 CLIA NUMBER - HENRY FORD WYANDOTTE HOSPITAL PRIMARY CARE BROWNSTOWN

Laboratory Demographics

  • CLIA Code: 23D2038648
  • Facility Name: HENRY FORD WYANDOTTE HOSPITAL PRIMARY CARE BROWNSTOWN
  • Facility Address: 23050 WEST ROAD SUITE 260
    BROWNSTOWN, MI
    ZIP 48183
  • Facility Phone: 734 671-1867
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN CROSSLEY
  • NPI Number: 1598730871
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 23D2038648
LAB Type Physician Office
Facility Name HENRY FORD WYANDOTTE HOSPITAL PRIMARY CARE BROWNSTOWN
Street 23050 WEST ROAD SUITE 260
City BROWNSTOWN
State MI
ZIP 48183
Phone 734 671-1867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director STEVEN CROSSLEY

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