23D2110136 CLIA NUMBER - PACKARD HEALTH YPSILANTI

Laboratory Demographics

  • CLIA Code: 23D2110136
  • Facility Name: PACKARD HEALTH YPSILANTI
  • Facility Address: 200 ARNET STREET SUITE 150
    YPSILANTI, MI
    ZIP 48198
  • Facility Phone: 734 985-7200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: RAYMOND J. RION
  • NPI Number: 1962879890
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2110136
LAB Type Federally Qualified Health Center
Facility Name PACKARD HEALTH YPSILANTI
Street 200 ARNET STREET SUITE 150
City YPSILANTI
State MI
ZIP 48198
Phone 734 985-7200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Federally Qualified Health Center
Lab Director RAYMOND J. RION

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