23D2288199 CLIA NUMBER - NOVAMED LLC

Laboratory Demographics

CLIA Number: 23D2288199

Facility Name: NOVAMED LLC

Facility Address:
27211 LAHSER SUITE 200
SOUTHFIELD, MI
ZIP 48034
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Facility Phone Number: 248 494-8917

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487438768

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	23D2288199
LAB Type	Physician Office
Facility Name	NOVAMED LLC
Street	27211 LAHSER SUITE 200
City	SOUTHFIELD
State	MI
ZIP	48034
Phone	248 494-8917
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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