23D2152670 CLIA NUMBER - NORDYKE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2152670
  • Facility Name: NORDYKE FAMILY MEDICINE
  • Facility Address: 2201 FORD AVENUE
    WYANDOTTE, MI
    ZIP 48192
  • Facility Phone: 734 258-8835
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BILLY R. NORDYKE JR
  • NPI Number: 1235619065
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2152670
LAB Type Physician Office
Facility Name NORDYKE FAMILY MEDICINE
Street 2201 FORD AVENUE
City WYANDOTTE
State MI
ZIP 48192
Phone 734 258-8835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director BILLY R. NORDYKE JR

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