23D0371880 CLIA NUMBER - OPDYKE MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 23D0371880
  • Facility Name: OPDYKE MEDICAL, PLLC
  • Facility Address: 3959 CENTERPOINT PARKWAY SUITE 100
    PONTIAC, MI
    ZIP 48341
  • Facility Phone: 248 333-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW F. KULICK
  • NPI Number: 1154664688
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0371880
LAB Type Physician Office
Facility Name OPDYKE MEDICAL, PLLC
Street 3959 CENTERPOINT PARKWAY SUITE 100
City PONTIAC
State MI
ZIP 48341
Phone 248 333-2600
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 MATTHEW F. KULICK

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