23D2241029 CLIA NUMBER - LILY HOSPICE

Laboratory Demographics

  • CLIA Code: 23D2241029
  • Facility Name: LILY HOSPICE
  • Facility Address: 26645 W 12 MILE ROAD SUITE 211
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 248 955-5100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAPHENE E. AGIUS
  • NPI Number: 1881234862
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2241029
LAB Type Hospice
Facility Name LILY HOSPICE
Street 26645 W 12 MILE ROAD SUITE 211
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 955-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Hospice
Lab Director DAPHENE E. AGIUS

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