23D2328012 CLIA NUMBER - VIP HOME PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 23D2328012
  • Facility Name: VIP HOME PHYSICIANS PLLC
  • Facility Address: 17425 MACK AVENUE
    DETROIT, MI
    ZIP 48224
  • Facility Phone: 313 499-8991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW J. BORIN
  • NPI Number: 1689496820
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2328012
LAB Type Physician Office
Facility Name VIP HOME PHYSICIANS PLLC
Street 17425 MACK AVENUE
City DETROIT
State MI
ZIP 48224
Phone 313 499-8991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director ANDREW J. BORIN

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