Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
23D0363213
|
|
Clinical laboratory number
|
|
Lab Name
|
HENRY FORD INTERNAL MEDICINE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
586-779-9899
|
|
Laboratory telephone number
|
|
Fax
|
586-776-2418
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
21000 E 12 MILE ROAD SUITE 104
|
|
Primary location adress line
|
|
City
|
ST CLAIR SHORES
|
|
Primary location city name
|
|
State
|
MI
|
|
Primary location state name
|
|
Zip
|
48081
|
|
Primary location postal code
|