23D0366316 CLIA NUMBER - LIBERTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0366316
  • Facility Name: LIBERTY PEDIATRICS
  • Facility Address: 3200 LIBERTY ROAD, SUITE A
    ANN ARBOR, MI
    ZIP 48103
  • Facility Phone: (734) 994-5858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW SEILER
  • NPI Number: 1568633253
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0366316
LAB Type Physician Office
Facility Name LIBERTY PEDIATRICS
Street 3200 LIBERTY ROAD, SUITE A
City ANN ARBOR
State MI
ZIP 48103
Phone 7349945858
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 ANDREW SEILER

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This page was last updated on: 5/18/2026