23D2141244 CLIA NUMBER - BOTSFORD COMPREHENSIVE CANCER CENTER

Laboratory Demographics

  • CLIA Code: 23D2141244
  • Facility Name: BOTSFORD COMPREHENSIVE CANCER CENTER
  • Facility Address: 27900 GRAND RIVER SUITE 120
    FARMINGTON HILLS, MI
    ZIP 48336
  • Facility Phone: 248 471-8120
  • Facility Type: Other - CANCER CENTER
  • Facility Type: Waiver
  • Lab Director: JAMES F. FONTANESI
  • NPI Number: 1124073762
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2141244
LAB Type Other - CANCER CENTER
Facility Name BOTSFORD COMPREHENSIVE CANCER CENTER
Street 27900 GRAND RIVER SUITE 120
City FARMINGTON HILLS
State MI
ZIP 48336
Phone 248 471-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Other - CANCER CENTER
Lab Director JAMES F. FONTANESI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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