23D2300933 CLIA NUMBER - DIVINE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 23D2300933
  • Facility Name: DIVINE HOSPICE, LLC
  • Facility Address: 24333 ORCHARD LAKE ROAD SUITE F
    FARMINGTON HILLS, MI
    ZIP 48336
  • Facility Phone: 734 720-2117
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ESTHER AOIGAN
  • NPI Number: 1275386823
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2300933
LAB Type Hospice
Facility Name DIVINE HOSPICE, LLC
Street 24333 ORCHARD LAKE ROAD SUITE F
City FARMINGTON HILLS
State MI
ZIP 48336
Phone 734 720-2117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Hospice
Lab Director ESTHER AOIGAN

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