23D0371474 CLIA NUMBER - METRO MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 23D0371474
  • Facility Name: METRO MEDICAL PRACTICE PC
  • Facility Address: 2891 E MAPLE ROAD SUITE 102
    TROY, MI
    ZIP 48083
  • Facility Phone: 248 524-9085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA JASZCZAK
  • NPI Number: 1740223239
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0371474
LAB Type Physician Office
Facility Name METRO MEDICAL PRACTICE PC
Street 2891 E MAPLE ROAD SUITE 102
City TROY
State MI
ZIP 48083
Phone 248 524-9085
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 TERESA JASZCZAK

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