23D2266759 CLIA NUMBER - HURON GASTRO ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 23D2266759
  • Facility Name: HURON GASTRO ENDOSCOPY CENTER, LLC
  • Facility Address: 36650 5 MILE ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 714 766-5882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LARRY A. ADLER
  • NPI Number: 1689311938
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2266759
LAB Type Ambulatory Surgery Center
Facility Name HURON GASTRO ENDOSCOPY CENTER, LLC
Street 36650 5 MILE ROAD
City LIVONIA
State MI
ZIP 48154
Phone 714 766-5882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Ambulatory Surgery Center
Lab Director LARRY A. ADLER

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