23D2286516 CLIA NUMBER - PACKARD HEALTH

Laboratory Demographics

  • CLIA Code: 23D2286516
  • Facility Name: PACKARD HEALTH
  • Facility Address: 2345 TYLER ROAD
    YPSILANTI, MI
    ZIP 48198
  • Facility Phone: 734 926-4900
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANKOOR SONI
  • NPI Number: 1841687589
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2286516
LAB Type Federally Qualified Health Center
Facility Name PACKARD HEALTH
Street 2345 TYLER ROAD
City YPSILANTI
State MI
ZIP 48198
Phone 734 926-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Federally Qualified Health Center
Lab Director ANKOOR SONI

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