23D2298158 CLIA NUMBER - PROACTIVE MD L&L HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D2298158
  • Facility Name: PROACTIVE MD L&L HEALTH CENTER
  • Facility Address: 160 MCLEAN DRIVE
    ROMEO, MI
    ZIP 48065
  • Facility Phone: 586 336-3467
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PAULA A. WITTE
  • NPI Number: 1255106498
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2298158
LAB Type Practitioner Other
Facility Name PROACTIVE MD L&L HEALTH CENTER
Street 160 MCLEAN DRIVE
City ROMEO
State MI
ZIP 48065
Phone 586 336-3467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Practitioner Other
Lab Director PAULA A. WITTE

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