23D2057585 CLIA NUMBER - MACOMB ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 23D2057585
  • Facility Name: MACOMB ENDOSCOPY CENTER
  • Facility Address: 48801 ROMEO PLANK ROAD
    MACOMB TOWNSHIP, MI
    ZIP 48044
  • Facility Phone: 248 267-6222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANTE D. BOLOGNA
  • NPI Number: 1780923128
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2057585
LAB Type Ambulatory Surgery Center
Facility Name MACOMB ENDOSCOPY CENTER
Street 48801 ROMEO PLANK ROAD
City MACOMB TOWNSHIP
State MI
ZIP 48044
Phone 248 267-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Ambulatory Surgery Center
Lab Director SANTE D. BOLOGNA

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