23D2113441 CLIA NUMBER - ROCHESTER OUTPATIENT CENTER

Laboratory Demographics

CLIA Number: 23D2113441

Facility Name: ROCHESTER OUTPATIENT CENTER

Facility Address:
1349 S ROCHESTER ROAD SUITE 150
ROCHESTER HILLS, MI
ZIP 48307
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Facility Phone Number: 248 844-3800

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1376574814

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2113441
LAB Type	Ambulatory Surgery Center
Facility Name	ROCHESTER OUTPATIENT CENTER
Street	1349 S ROCHESTER ROAD SUITE 150
City	ROCHESTER HILLS
State	MI
ZIP	48307
Phone	248 844-3800
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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