23D2244041 CLIA NUMBER - SOUTHFIELD HOME TRAINING

Laboratory Demographics

  • CLIA Code: 23D2244041
  • Facility Name: SOUTHFIELD HOME TRAINING
  • Facility Address: 24647 GREENFIELD ROAD
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 947 941-5473
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YASSIR M. SIRAJELDIN
  • NPI Number: 1215605472
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2244041
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHFIELD HOME TRAINING
Street 24647 GREENFIELD ROAD
City SOUTHFIELD
State MI
ZIP 48075
Phone 947 941-5473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YASSIR M. SIRAJELDIN

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