23D2120024 CLIA NUMBER - ROMANCARE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 23D2120024
  • Facility Name: ROMANCARE HEALTH SERVICES
  • Facility Address: 9600 DEXTER AVE
    DETROIT, MI
    ZIP 48206
  • Facility Phone: 248 218-1199
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANGELA L. ROMAN
  • NPI Number: 1770911703
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 23D2120024
LAB Type Practitioner Other
Facility Name ROMANCARE HEALTH SERVICES
Street 9600 DEXTER AVE
City DETROIT
State MI
ZIP 48206
Phone 248 218-1199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Practitioner Other
Lab Director ANGELA L. ROMAN

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