23D0368053 CLIA NUMBER - ADVANCED DERMATOLOGY OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D0368053
  • Facility Name: ADVANCED DERMATOLOGY OF MICHIGAN
  • Facility Address: 16826 NEWBURGH ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN GREKIN
  • NPI Number: 1215075460
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0368053
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF MICHIGAN
Street 16826 NEWBURGH ROAD
City LIVONIA
State MI
ZIP 48154
Phone 407 284-3407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director STEVEN GREKIN

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