23D2184232 CLIA NUMBER - GUEST HOUSE

Laboratory Demographics

  • CLIA Code: 23D2184232
  • Facility Name: GUEST HOUSE
  • Facility Address: 1601 JOSLYN ROAD
    LAKE ORION, MI
    ZIP 48360
  • Facility Phone: 248 393-8908
  • Facility Type: Other - RESIDENTIAL DRUG/ALCOHOL
  • Facility Type: Waiver
  • Lab Director: JEFFREY P. BERGER
  • NPI Number: 1811601503
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2184232
LAB Type Other - RESIDENTIAL DRUG/ALCOHOL
Facility Name GUEST HOUSE
Street 1601 JOSLYN ROAD
City LAKE ORION
State MI
ZIP 48360
Phone 248 393-8908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Other - RESIDENTIAL DRUG/ALCOHOL
Lab Director JEFFREY P. BERGER

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