Healther Providers Data Logo

23D2065429 CLIA NUMBER - BEAUMONT FARMINGTON VILLAGE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 23D2065429

Facility Name: BEAUMONT FARMINGTON VILLAGE FAMILY PRACTICE

Facility Address:
28100 GRAND RIVER AVENUE SUITE 313
FARMINGTON HILLS, MI
ZIP 48336
Get Directions

Facility Phone Number: 947 521-7150

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205898590

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 23D2065429
LAB Type Physician Office
Facility Name BEAUMONT FARMINGTON VILLAGE FAMILY PRACTICE
Street 28100 GRAND RIVER AVENUE SUITE 313
City FARMINGTON HILLS
State MI
ZIP 48336
Phone 947 521-7150
CertificateType 4
CertificateEffectiveDate 3/29/2023
CertificateExpirationDate 3/28/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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