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23D0365555 CLIA NUMBER - CORNERSTONE PEDIATRICS

Laboratory Demographics

CLIA Number: 23D0365555

Facility Name: CORNERSTONE PEDIATRICS

Facility Address:
20225 E NINE MILE ROAD SUITE 100
ST CLAIR SHORES, MI
ZIP 48080
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Facility Phone Number: 586 772-1090

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1285950162

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 23D0365555
LAB Type Physician Office
Facility Name CORNERSTONE PEDIATRICS
Street 20225 E NINE MILE ROAD SUITE 100
City ST CLAIR SHORES
State MI
ZIP 48080
Phone 586 772-1090
CertificateType 4
CertificateEffectiveDate 1/1/2024
CertificateExpirationDate 12/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024