23D2260718 CLIA NUMBER - PROMEDICA 360HEALTH MONROE

Laboratory Demographics

  • CLIA Code: 23D2260718
  • Facility Name: PROMEDICA 360HEALTH MONROE
  • Facility Address: 901 N MACOMB STREET
    MONROE, MI
    ZIP 48162
  • Facility Phone: 734 240-4150
  • Facility Type: Other - OCCUPATIONAL MED CLINIC
  • Facility Type: Waiver
  • Lab Director: KEVIN F. SMITH
  • NPI Number: 1801996210
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2260718
LAB Type Other - OCCUPATIONAL MED CLINIC
Facility Name PROMEDICA 360HEALTH MONROE
Street 901 N MACOMB STREET
City MONROE
State MI
ZIP 48162
Phone 734 240-4150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - OCCUPATIONAL MED CLINIC
Lab Director KEVIN F. SMITH

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