23D0367680 CLIA NUMBER - DOWNRIVER PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 23D0367680
  • Facility Name: DOWNRIVER PEDIATRIC ASSOCIATES PC
  • Facility Address: 23050 WEST ROAD SUITE 110
    BROWNSTOWN, MI
    ZIP 48183
  • Facility Phone: 734 671-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIONISIA A. SY
  • NPI Number: 1124137534
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0367680
LAB Type Physician Office
Facility Name DOWNRIVER PEDIATRIC ASSOCIATES PC
Street 23050 WEST ROAD SUITE 110
City BROWNSTOWN
State MI
ZIP 48183
Phone 734 671-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DIONISIA A. SY

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