23D0367216 CLIA NUMBER - MICHAEL T GOLDFARB MD PC

Laboratory Demographics

  • CLIA Code: 23D0367216
  • Facility Name: MICHAEL T GOLDFARB MD PC
  • Facility Address: 2051 MONROE
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 563-1212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL T. GOLDFARB
  • NPI Number: 1467422923
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0367216
LAB Type Physician Office
Facility Name MICHAEL T GOLDFARB MD PC
Street 2051 MONROE
City DEARBORN
State MI
ZIP 48124
Phone 313 563-1212
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 MICHAEL T. GOLDFARB

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