23D2314400 CLIA NUMBER - TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGIC ONCOLOGY - ANN ARBOR CAMPUS

Laboratory Demographics

  • CLIA Code: 23D2314400
  • Facility Name: TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGIC ONCOLOGY - ANN ARBOR CAMPUS
  • Facility Address: 5303 ELLIOTT DRIVE SUITE 220
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 734 712-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J REBECCA LIU
  • NPI Number: 1487965877
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2314400
LAB Type Physician Office
Facility Name TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGIC ONCOLOGY - ANN ARBOR CAMPUS
Street 5303 ELLIOTT DRIVE SUITE 220
City YPSILANTI
State MI
ZIP 48197
Phone 734 712-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director J REBECCA LIU

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