23D2083057 CLIA NUMBER - OAKWOOD RENAL SERVICES

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Laboratory Demographics

CLIA Number: 23D2083057

Facility Name: OAKWOOD RENAL SERVICES

Facility Address:
18100 OAKWOOD BLVD, SUITE 206
DEARBORN, MI
ZIP 48124
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Facility Phone Number: 313 438-7959

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1801215959

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2083057
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OAKWOOD RENAL SERVICES
Street	18100 OAKWOOD BLVD, SUITE 206
City	DEARBORN
State	MI
ZIP	48124
Phone	313 438-7959
CertificateType	4
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	Waiver

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