23D2110137 CLIA NUMBER - PACKARD HEALTH AT DELONIS CENTER

Laboratory Demographics

  • CLIA Code: 23D2110137
  • Facility Name: PACKARD HEALTH AT DELONIS CENTER
  • Facility Address: 312 W HURON STREET
    ANN ARBOR, MI
    ZIP 48103
  • Facility Phone: 734 996-3059
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: RAYMOND J. RION
  • NPI Number: 1851769053
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2110137
LAB Type Federally Qualified Health Center
Facility Name PACKARD HEALTH AT DELONIS CENTER
Street 312 W HURON STREET
City ANN ARBOR
State MI
ZIP 48103
Phone 734 996-3059
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