23D2041366 CLIA NUMBER - GREENFIELD HEALTH SYSTEM 2ND AVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2041366
  • Facility Name: GREENFIELD HEALTH SYSTEM 2ND AVE DIALYSIS
  • Facility Address: 6525 2ND AVENUE
    DETROIT, MI
    ZIP 48202
  • Facility Phone: 313 916-7062
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VIVEK SOI
  • NPI Number: 1053331322
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2041366
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREENFIELD HEALTH SYSTEM 2ND AVE DIALYSIS
Street 6525 2ND AVENUE
City DETROIT
State MI
ZIP 48202
Phone 313 916-7062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VIVEK SOI

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