23D2058940 CLIA NUMBER - CH WB UNIV HOSP LAB - 6900 ORCHARD LAKE

Laboratory Demographics

  • CLIA Code: 23D2058940
  • Facility Name: CH WB UNIV HOSP LAB - 6900 ORCHARD LAKE
  • Facility Address: 6900 ORCHARD LAKE ROAD SUITE LL100 MEDICAL OFFICE BUILDING
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 248 898-9060
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. KURT D. BERNACKI
  • NPI Number: 1275790206
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 23D2058940
LAB Type Ambulatory Surgery Center
Facility Name CH WB UNIV HOSP LAB - 6900 ORCHARD LAKE
Street 6900 ORCHARD LAKE ROAD SUITE LL100 MEDICAL OFFICE BUILDING
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 248 898-9060
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. KURT D. BERNACKI

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