23D0371352 CLIA NUMBER - GREGORY E GOULD DO PC

Laboratory Demographics

  • CLIA Code: 23D0371352
  • Facility Name: GREGORY E GOULD DO PC
  • Facility Address: 60005 CAMPGROUND ROAD SUITE 600
    WASHINGTON, MI
    ZIP 48094
  • Facility Phone: 586 372-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY E. GOULD
  • NPI Number: 1962446468
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0371352
LAB Type Physician Office
Facility Name GREGORY E GOULD DO PC
Street 60005 CAMPGROUND ROAD SUITE 600
City WASHINGTON
State MI
ZIP 48094
Phone 586 372-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director GREGORY E. GOULD

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