23D2061941 CLIA NUMBER - BLOOMFIELD HILLS HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2061941
  • Facility Name: BLOOMFIELD HILLS HOME DIALYSIS
  • Facility Address: 42886 WOODWARD AVENUE
    BLOOMFIELD HILLS, MI
    ZIP 48304
  • Facility Phone: 248 334-7501
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN D. CLYNE
  • NPI Number: 1467890616
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2061941
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BLOOMFIELD HILLS HOME DIALYSIS
Street 42886 WOODWARD AVENUE
City BLOOMFIELD HILLS
State MI
ZIP 48304
Phone 248 334-7501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN D. CLYNE

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