23D2273554 CLIA NUMBER - PARC HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 23D2273554
  • Facility Name: PARC HOSPICE, LLC
  • Facility Address: 33060 NORTHWESTERN HIGHWAY SUITE 210
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 248 328-2939
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JONATHAN T. GASSO
  • NPI Number: 1255058020
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2273554
LAB Type Hospice
Facility Name PARC HOSPICE, LLC
Street 33060 NORTHWESTERN HIGHWAY SUITE 210
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 248 328-2939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Hospice
Lab Director JONATHAN T. GASSO

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