23D2218317 CLIA NUMBER - MEADOWLARK HOME CARE - 1

Laboratory Demographics

CLIA Number: 23D2218317

Facility Name: MEADOWLARK HOME CARE - 1

Facility Address:
29931 BERMUDA LANE
SOUTHFIELD, MI
ZIP 48076
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Facility Phone Number: 248 240-7647

Facility Type: Other - SMALL AFC

Certificate Type: Waiver

NPI Number: 1043708357

Taxonomy: 253J00000X - Foster Care Agency
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024