23D2164065 CLIA NUMBER - UNIVERSITY OF MICHIGAN ANN ARBOR DIALYSIS CLINIC

Laboratory Demographics

CLIA Number: 23D2164065

Facility Name: UNIVERSITY OF MICHIGAN ANN ARBOR DIALYSIS CLINIC

Facility Address:
2850 SOUTH INDUSTRIAL HWY STE 100
ANN ARBOR, MI
ZIP 48104
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Facility Phone Number: 734 677-1490

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1063538577

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2164065
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	UNIVERSITY OF MICHIGAN ANN ARBOR DIALYSIS CLINIC
Street	2850 SOUTH INDUSTRIAL HWY STE 100
City	ANN ARBOR
State	MI
ZIP	48104
Phone	734 677-1490
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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