23D2087469 CLIA NUMBER - COREWELL HEALTH FARMINGTON HILLS HOSP CARDIO-28080 GRAND RIVER AVE

Laboratory Demographics

  • CLIA Code: 23D2087469
  • Facility Name: COREWELL HEALTH FARMINGTON HILLS HOSP CARDIO-28080 GRAND RIVER AVE
  • Facility Address: 28080 GRAND RIVER SUITE 306N
    FARMINGTON HILLS, MI
    ZIP 48336
  • Facility Phone: 947 521-4774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID P. GOWMAN
  • NPI Number: 1356374185
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2087469
LAB Type Physician Office
Facility Name COREWELL HEALTH FARMINGTON HILLS HOSP CARDIO-28080 GRAND RIVER AVE
Street 28080 GRAND RIVER SUITE 306N
City FARMINGTON HILLS
State MI
ZIP 48336
Phone 947 521-4774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director DAVID P. GOWMAN

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