23D0363370 CLIA NUMBER - NORTHWEST DERMATOLOGY GROUP PC

Laboratory Demographics

  • CLIA Code: 23D0363370
  • Facility Name: NORTHWEST DERMATOLOGY GROUP PC
  • Facility Address: 32270 TELEGRAPH ROAD SUITE 200
    BINGHAM FARMS, MI
    ZIP 48025
  • Facility Phone: 248 353-0880
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EMILY B. LEVIN
  • NPI Number: 1285656777
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0363370
LAB Type Physician Office
Facility Name NORTHWEST DERMATOLOGY GROUP PC
Street 32270 TELEGRAPH ROAD SUITE 200
City BINGHAM FARMS
State MI
ZIP 48025
Phone 248 353-0880
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director EMILY B. LEVIN

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