23D2162482 CLIA NUMBER - ALEGIS CARE - MICHIGAN PC

Laboratory Demographics

CLIA Number: 23D2162482

Facility Name: ALEGIS CARE - MICHIGAN PC

Facility Address:
39555 ORCHARD HILL PLACE
NOVI, MI
ZIP 48375
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Facility Phone Number: 312 262-7889

Facility Type: Other - IN-HOME PRIMARY CARE

Certificate Type: Waiver

NPI Number: 1164820098

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	23D2162482
LAB Type	Other - IN-HOME PRIMARY CARE
Facility Name	ALEGIS CARE - MICHIGAN PC
Street	39555 ORCHARD HILL PLACE
City	NOVI
State	MI
ZIP	48375
Phone	312 262-7889
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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