23D2228990 CLIA NUMBER - BLOOMFIELD HILLS SURGERY CENTER

Laboratory Demographics

CLIA Number: 23D2228990

Facility Name: BLOOMFIELD HILLS SURGERY CENTER

Facility Address:
359 ENTERPRISE COURT
BLOOMFIELD HILLS, MI
ZIP 48302
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Facility Phone Number: 248 538-7095

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1013309988

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	23D2228990
LAB Type	Ambulatory Surgery Center
Facility Name	BLOOMFIELD HILLS SURGERY CENTER
Street	359 ENTERPRISE COURT
City	BLOOMFIELD HILLS
State	MI
ZIP	48302
Phone	248 538-7095
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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