23D2273853 CLIA NUMBER - ANGELIC HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 23D2273853
  • Facility Name: ANGELIC HOSPICE, LLC
  • Facility Address: 42660 DEQUINDRE ROAD
    STERLING HEIGHTS, MI
    ZIP 48314
  • Facility Phone: 248 330-0998
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALISA M. ANDERSON
  • NPI Number: 1467174789
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2273853
LAB Type Hospice
Facility Name ANGELIC HOSPICE, LLC
Street 42660 DEQUINDRE ROAD
City STERLING HEIGHTS
State MI
ZIP 48314
Phone 248 330-0998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Hospice
Lab Director ALISA M. ANDERSON

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