23D2328684 CLIA NUMBER - VIDA WOMEN'S HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 23D2328684
  • Facility Name: VIDA WOMEN'S HEALTH, PLLC
  • Facility Address: 19011 E 10 MILE ROAD
    ROSEVILLE, MI
    ZIP 48066
  • Facility Phone: 313 938-6687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALDO R. NUNEZ
  • NPI Number: 1043027840
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D2328684
LAB Type Physician Office
Facility Name VIDA WOMEN'S HEALTH, PLLC
Street 19011 E 10 MILE ROAD
City ROSEVILLE
State MI
ZIP 48066
Phone 313 938-6687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director ALDO R. NUNEZ

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