23D0363183 CLIA NUMBER - YONG S SO MD

Laboratory Demographics

  • CLIA Code: 23D0363183
  • Facility Name: YONG S SO MD
  • Facility Address: 22001 KELLY ROAD
    EASTPOINTE, MI
    ZIP 48021
  • Facility Phone: 586 778-0209
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YONG S. SO
  • NPI Number: 1073708046
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D0363183
LAB Type Physician Office
Facility Name YONG S SO MD
Street 22001 KELLY ROAD
City EASTPOINTE
State MI
ZIP 48021
Phone 586 778-0209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director YONG S. SO

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