23D2273343 CLIA NUMBER - ELEMENT FAMILY CARE, PLLC

Laboratory Demographics

CLIA Number: 23D2273343

Facility Name: ELEMENT FAMILY CARE, PLLC

Facility Address:
26850 PROVIDENCE PARKWAY SUITE 460
NOVI, MI
ZIP 48374
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Facility Phone Number: 248 938-0039

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922719376

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D2273343
LAB Type	Physician Office
Facility Name	ELEMENT FAMILY CARE, PLLC
Street	26850 PROVIDENCE PARKWAY SUITE 460
City	NOVI
State	MI
ZIP	48374
Phone	248 938-0039
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024