23D2180211 CLIA NUMBER - ORCHARDS OF NORTHWEST, THE

Laboratory Demographics

  • CLIA Code: 23D2180211
  • Facility Name: ORCHARDS OF NORTHWEST, THE
  • Facility Address: 16181 HUBBELL STREET
    DETROIT, MI
    ZIP 48235
  • Facility Phone: 313 273-8764
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAREN MOSS
  • NPI Number: 1750723409
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 23D2180211
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ORCHARDS OF NORTHWEST, THE
Street 16181 HUBBELL STREET
City DETROIT
State MI
ZIP 48235
Phone 313 273-8764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KAREN MOSS

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