23D2218317 CLIA NUMBER - MEADOWLARK HOME CARE - 1

Laboratory Demographics

  • CLIA Code: 23D2218317
  • Facility Name: MEADOWLARK HOME CARE - 1
  • Facility Address: 29931 BERMUDA LANE
    SOUTHFIELD, MI
    ZIP 48076
  • Facility Phone: 248 240-7647
  • Facility Type: Other - SMALL AFC
  • Facility Type: Waiver
  • Lab Director: DEVOUGHN OWENS
  • NPI Number: 1043708357
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 23D2218317
LAB Type Other - SMALL AFC
Facility Name MEADOWLARK HOME CARE - 1
Street 29931 BERMUDA LANE
City SOUTHFIELD
State MI
ZIP 48076
Phone 248 240-7647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Other - SMALL AFC
Lab Director DEVOUGHN OWENS

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