23D2175381 CLIA NUMBER - DOWNRIVER VASCULAR ASSOCIATES PLC

Laboratory Demographics

  • CLIA Code: 23D2175381
  • Facility Name: DOWNRIVER VASCULAR ASSOCIATES PLC
  • Facility Address: 16507 SOUTHFIELD RD
    ALLEN PARK, MI
    ZIP 48101
  • Facility Phone: 313 429-3211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHEER R. UMMADI
  • NPI Number: 1386108835
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2175381
LAB Type Physician Office
Facility Name DOWNRIVER VASCULAR ASSOCIATES PLC
Street 16507 SOUTHFIELD RD
City ALLEN PARK
State MI
ZIP 48101
Phone 313 429-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director SUDHEER R. UMMADI

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This page was last updated on: 6/4/2025