23D2303373 CLIA NUMBER - IDEAL HOSPICE SERVICES

Laboratory Demographics

  • CLIA Code: 23D2303373
  • Facility Name: IDEAL HOSPICE SERVICES
  • Facility Address: 6751 DIXIE HIGHWAY SUITE 200
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 888 761-1215
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DIPA SHAH
  • NPI Number: 1043063357
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2303373
LAB Type Hospice
Facility Name IDEAL HOSPICE SERVICES
Street 6751 DIXIE HIGHWAY SUITE 200
City CLARKSTON
State MI
ZIP 48346
Phone 888 761-1215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Hospice
Lab Director DIPA SHAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025