23D2102297 CLIA NUMBER - HOLY NAME HOME CARE

Laboratory Demographics

  • CLIA Code: 23D2102297
  • Facility Name: HOLY NAME HOME CARE
  • Facility Address: 30600 TELEGRAPH SUITE 2230
    BINGHAM FARMS, MI
    ZIP 48025
  • Facility Phone: 248 593-9902
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MA LORALLIE MANONGSONG
  • NPI Number: 1659644292
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2102297
LAB Type Home Health Agency
Facility Name HOLY NAME HOME CARE
Street 30600 TELEGRAPH SUITE 2230
City BINGHAM FARMS
State MI
ZIP 48025
Phone 248 593-9902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Home Health Agency
Lab Director MA LORALLIE MANONGSONG

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