23D2052894 CLIA NUMBER - ANGEL HOSPICE

Laboratory Demographics

  • CLIA Code: 23D2052894
  • Facility Name: ANGEL HOSPICE
  • Facility Address: 30700 TELEGRAPH SUITE 2540
    BINGHAM FARMS, MI
    ZIP 48025
  • Facility Phone: 248 593-5553
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DIANA FOX
  • NPI Number: 1447598081
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2052894
LAB Type Hospice
Facility Name ANGEL HOSPICE
Street 30700 TELEGRAPH SUITE 2540
City BINGHAM FARMS
State MI
ZIP 48025
Phone 248 593-5553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Hospice
Lab Director DIANA FOX

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