23D0368391 CLIA NUMBER - JEFF Y THE DO

Laboratory Demographics

  • CLIA Code: 23D0368391
  • Facility Name: JEFF Y THE DO
  • Facility Address: 990 W ANN ARBOR TRAIL SUITE 100
    PLYMOUTH, MI
    ZIP 48170
  • Facility Phone: 734 455-8497
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFF Y. THE
  • NPI Number: 1710940242
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0368391
LAB Type Physician Office
Facility Name JEFF Y THE DO
Street 990 W ANN ARBOR TRAIL SUITE 100
City PLYMOUTH
State MI
ZIP 48170
Phone 734 455-8497
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 JEFF Y. THE

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