23D2263539 CLIA NUMBER - COREWELL HEALTH FAMILY MEDICINE - LIVONIA

Laboratory Demographics

  • CLIA Code: 23D2263539
  • Facility Name: COREWELL HEALTH FAMILY MEDICINE - LIVONIA
  • Facility Address: 39000 W SEVEN MILE ROAD SUITE 4300
    LIVONIA, MI
    ZIP 48152
  • Facility Phone: 947 523-4390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNDA RAYOS
  • NPI Number: 1639743446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2263539
LAB Type Physician Office
Facility Name COREWELL HEALTH FAMILY MEDICINE - LIVONIA
Street 39000 W SEVEN MILE ROAD SUITE 4300
City LIVONIA
State MI
ZIP 48152
Phone 947 523-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director LYNDA RAYOS

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