23D0363533 CLIA NUMBER - SOUTHFIELD PEDIATRIC PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 23D0363533
  • Facility Name: SOUTHFIELD PEDIATRIC PHYSICIANS, PC
  • Facility Address: 31500 TELEGRAPH SUITE 105
    BINGHAM FARMS, MI
    ZIP 48025
  • Facility Phone: 248 540-8700
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ROBERT BLUM
  • NPI Number: 1548270424
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D0363533
LAB Type Physician Office
Facility Name SOUTHFIELD PEDIATRIC PHYSICIANS, PC
Street 31500 TELEGRAPH SUITE 105
City BINGHAM FARMS
State MI
ZIP 48025
Phone 248 540-8700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director ROBERT BLUM

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