23D2301290 CLIA NUMBER - COORDINATED MEDICAL I PLLC

Laboratory Demographics

  • CLIA Code: 23D2301290
  • Facility Name: COORDINATED MEDICAL I PLLC
  • Facility Address: 39555 ORCHARD HILL PLACE SUITE 600
    NOVI, MI
    ZIP 48375
  • Facility Phone: 833 633-1295
  • Facility Type: Other - PROVIDER HOME VISITS
  • Facility Type: Waiver
  • Lab Director: MELANIE ODELEYE
  • NPI Number: 1053019679
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D2301290
LAB Type Other - PROVIDER HOME VISITS
Facility Name COORDINATED MEDICAL I PLLC
Street 39555 ORCHARD HILL PLACE SUITE 600
City NOVI
State MI
ZIP 48375
Phone 833 633-1295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Other - PROVIDER HOME VISITS
Lab Director MELANIE ODELEYE

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