23D2109109 CLIA NUMBER - GANKA SPASSOVA MD PLLC

Laboratory Demographics

CLIA Number: 23D2109109

Facility Name: GANKA SPASSOVA MD PLLC

Facility Address:
18770 FARMINGTON ROAD
LIVONIA, MI
ZIP 48152
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Facility Phone Number: 734 284-6338

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053520148

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D2109109
LAB Type	Physician Office
Facility Name	GANKA SPASSOVA MD PLLC
Street	18770 FARMINGTON ROAD
City	LIVONIA
State	MI
ZIP	48152
Phone	734 284-6338
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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