23D2160561 CLIA NUMBER - MICHIGAN HEALTH CARE PROFESSIONALS PC

Laboratory Demographics

  • CLIA Code: 23D2160561
  • Facility Name: MICHIGAN HEALTH CARE PROFESSIONALS PC
  • Facility Address: 28477 HOOVER ROAD
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 250-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY GAMMONS
  • NPI Number: 1407327778
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 23D2160561
LAB Type Physician Office
Facility Name MICHIGAN HEALTH CARE PROFESSIONALS PC
Street 28477 HOOVER ROAD
City WARREN
State MI
ZIP 48093
Phone 586 250-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director TIMOTHY GAMMONS

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