23D2058183 CLIA NUMBER - ALLURE MEDICAL SPA

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Laboratory Demographics

CLIA Number: 23D2058183

Facility Name: ALLURE MEDICAL SPA

Facility Address:
8180 26 MILE ROAD SUITE 300
SHELBY TOWNSHIP, MI
ZIP 48316
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Facility Phone Number: 586 992-8300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881182889

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	23D2058183
LAB Type	Physician Office
Facility Name	ALLURE MEDICAL SPA
Street	8180 26 MILE ROAD SUITE 300
City	SHELBY TOWNSHIP
State	MI
ZIP	48316
Phone	586 992-8300
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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