23D2261035 CLIA NUMBER - PHLEX LABS LLC

Laboratory Demographics

  • CLIA Code: 23D2261035
  • Facility Name: PHLEX LABS LLC
  • Facility Address: 43996 WOODWARD AVENUE SUITE 5 PMB 1010
    BLOOMFIELD HILLS, MI
    ZIP 48302
  • Facility Phone: 866 745-3931
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TYLA L. STOVALL DANIEL
  • NPI Number: 1619606183
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 23D2261035
LAB Type Mobile Laboratory
Facility Name PHLEX LABS LLC
Street 43996 WOODWARD AVENUE SUITE 5 PMB 1010
City BLOOMFIELD HILLS
State MI
ZIP 48302
Phone 866 745-3931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Mobile Laboratory
Lab Director TYLA L. STOVALL DANIEL

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