23D2225679 CLIA NUMBER - NEW SCHRYVER, LLC

Laboratory Demographics

CLIA Number: 23D2225679

Facility Name: NEW SCHRYVER, LLC

Facility Address:
21900 MELROSE AVENUE BLDG O SUITE 1
SOUTHFIELD, MI
ZIP 48075
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Facility Phone Number: 800 786-8015

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1447823067

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	23D2225679
LAB Type	Mobile Laboratory
Facility Name	NEW SCHRYVER, LLC
Street	21900 MELROSE AVENUE BLDG O SUITE 1
City	SOUTHFIELD
State	MI
ZIP	48075
Phone	800 786-8015
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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