23D0366328 CLIA NUMBER - KARL J EDELMANN MD

Laboratory Demographics

  • CLIA Code: 23D0366328
  • Facility Name: KARL J EDELMANN MD
  • Facility Address: 955 W EISENHOWER CIRCLE SUITE D
    ANN ARBOR, MI
    ZIP 48103
  • Facility Phone: 313 747-8500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARL J. EDELMANN
  • NPI Number: 1285632216
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0366328
LAB Type Physician Office
Facility Name KARL J EDELMANN MD
Street 955 W EISENHOWER CIRCLE SUITE D
City ANN ARBOR
State MI
ZIP 48103
Phone 313 747-8500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KARL J. EDELMANN

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