23D2096969 CLIA NUMBER - OAKLAND INTEGRATED HEALTHCARE NETWORK

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Laboratory Demographics

CLIA Number: 23D2096969

Facility Name: OAKLAND INTEGRATED HEALTHCARE NETWORK

Facility Address:
1200 N TELEGRAPH ROAD BLDG 87 WEST
PONTIAC, MI
ZIP 48341
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Facility Phone Number: (248) 724-7426

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1508478579

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2096969
LAB Type	PHYSICIAN OFFICE
Facility Name	OAKLAND INTEGRATED HEALTHCARE NETWORK
Street	1200 N TELEGRAPH ROAD BLDG 87 WEST
City	PONTIAC
State	MI
ZIP	48341
Phone	(248) 724-7426

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This page was last updated on: 5/11/2023