23D2079663 CLIA NUMBER - RENAL REDUX

Laboratory Demographics

  • CLIA Code: 23D2079663
  • Facility Name: RENAL REDUX
  • Facility Address: 32121 WOODWARD AVENUE, SUITE 200
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 690-9946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY A. DANCIK
  • NPI Number: 1528492212
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2079663
LAB Type Physician Office
Facility Name RENAL REDUX
Street 32121 WOODWARD AVENUE, SUITE 200
City ROYAL OAK
State MI
ZIP 48073
Phone 248 690-9946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director JERRY A. DANCIK

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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