23D2263870 CLIA NUMBER - ELLE, MD PLLC

Laboratory Demographics

  • CLIA Code: 23D2263870
  • Facility Name: ELLE, MD PLLC
  • Facility Address: 702 W 11 MILE ROAD
    ROYAL OAK, MI
    ZIP 48067
  • Facility Phone: 248 284-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN HENDRIKS
  • NPI Number: 1295466720
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2263870
LAB Type Physician Office
Facility Name ELLE, MD PLLC
Street 702 W 11 MILE ROAD
City ROYAL OAK
State MI
ZIP 48067
Phone 248 284-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director ERIN HENDRIKS

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