23D0370319 CLIA NUMBER - GROSSE POINTE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D0370319
  • Facility Name: GROSSE POINTE DERMATOLOGY
  • Facility Address: 16815 E JEFFERSON SUITE 260
    GROSSE POINTE, MI
    ZIP 48230
  • Facility Phone: 313 886-2600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID S. BALLE
  • NPI Number: 1063588572
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D0370319
LAB Type Physician Office
Facility Name GROSSE POINTE DERMATOLOGY
Street 16815 E JEFFERSON SUITE 260
City GROSSE POINTE
State MI
ZIP 48230
Phone 313 886-2600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director DAVID S. BALLE

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