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23D2050944 CLIA NUMBER - GREAT LAKES HOME HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 23D2050944

Facility Name: GREAT LAKES HOME HEALTHCARE SERVICES INC

Facility Address:
28592 ORCHARD LAKE ROAD
FARMINGTON HILLS, MI
ZIP 48334
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Facility Phone Number: 248 623-8400

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1356691893

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 23D2050944
LAB Type Home Health Agency
Facility Name GREAT LAKES HOME HEALTHCARE SERVICES INC
Street 28592 ORCHARD LAKE ROAD
City FARMINGTON HILLS
State MI
ZIP 48334
Phone 248 623-8400
CertificateType 4
CertificateEffectiveDate 5/26/2023
CertificateExpirationDate 5/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024