23D2039534 CLIA NUMBER - FOREVER HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 23D2039534
  • Facility Name: FOREVER HOME CARE LLC
  • Facility Address: 48645 VAN DYKE SUITE 109
    SHELBY TOWNSHIP, MI
    ZIP 48317
  • Facility Phone: 586 731-6639
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GABRIEL M. CHINDRIS
  • NPI Number: 1720383748
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2039534
LAB Type Home Health Agency
Facility Name FOREVER HOME CARE LLC
Street 48645 VAN DYKE SUITE 109
City SHELBY TOWNSHIP
State MI
ZIP 48317
Phone 586 731-6639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Home Health Agency
Lab Director GABRIEL M. CHINDRIS

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