23D2183624 CLIA NUMBER - AVALON PHYSICIAN SERVICES

Laboratory Demographics

  • CLIA Code: 23D2183624
  • Facility Name: AVALON PHYSICIAN SERVICES
  • Facility Address: 25500 MEADOWBROOK ROAD SUITE 250
    NOVI, MI
    ZIP 48375
  • Facility Phone: 248 277-3110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY P. SARAFA
  • NPI Number: 1265859920
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2183624
LAB Type Physician Office
Facility Name AVALON PHYSICIAN SERVICES
Street 25500 MEADOWBROOK ROAD SUITE 250
City NOVI
State MI
ZIP 48375
Phone 248 277-3110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director GARY P. SARAFA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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