23D0371018 CLIA NUMBER - DEXTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0371018
  • Facility Name: DEXTER PEDIATRICS
  • Facility Address: 12632 DEXTER AVENUE
    DETROIT, MI
    ZIP 48238
  • Facility Phone: 313 868-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATISH R. MEHTA
  • NPI Number: 1235506908
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0371018
LAB Type Physician Office
Facility Name DEXTER PEDIATRICS
Street 12632 DEXTER AVENUE
City DETROIT
State MI
ZIP 48238
Phone 313 868-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director SATISH R. MEHTA

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