23D2085024 CLIA NUMBER - NORTHWEST NEUROLOGY CLINIC PC

Laboratory Demographics

  • CLIA Code: 23D2085024
  • Facility Name: NORTHWEST NEUROLOGY CLINIC PC
  • Facility Address: 27200 LAHSER ROAD SUITE 100
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 248 208-9215
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TESSY C. JENKINS
  • NPI Number: 1467576132
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2085024
LAB Type Physician Office
Facility Name NORTHWEST NEUROLOGY CLINIC PC
Street 27200 LAHSER ROAD SUITE 100
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 208-9215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director TESSY C. JENKINS

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