23D2167731 CLIA NUMBER - COREWELL HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2167731
  • Facility Name: COREWELL HEALTH URGENT CARE
  • Facility Address: 15959 HALL ROAD STE 104
    MACOMB, MI
    ZIP 48044
  • Facility Phone: 248 230-2019
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DAVID THOMAS
  • NPI Number: 1184746463
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 23D2167731
LAB Type Other - URGENT CARE
Facility Name COREWELL HEALTH URGENT CARE
Street 15959 HALL ROAD STE 104
City MACOMB
State MI
ZIP 48044
Phone 248 230-2019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Other - URGENT CARE
Lab Director DAVID THOMAS

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