23D2312560 CLIA NUMBER - ENCORE GERIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D2312560
  • Facility Name: ENCORE GERIATRICS PLLC
  • Facility Address: 6149 N WAYNE ROAD
    WESTLAND, MI
    ZIP 48185
  • Facility Phone: 423 310-1642
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANDREW COLMAN
  • NPI Number: 1053811380
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D2312560
LAB Type Mobile Laboratory
Facility Name ENCORE GERIATRICS PLLC
Street 6149 N WAYNE ROAD
City WESTLAND
State MI
ZIP 48185
Phone 423 310-1642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Mobile Laboratory
Lab Director ANDREW COLMAN

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