23D0650651 CLIA NUMBER - PINKUS DERMATOPATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 23D0650651
  • Facility Name: PINKUS DERMATOPATHOLOGY LABORATORY
  • Facility Address: 1314 N MACOMB ST
    MONROE, MI
    ZIP 48162
  • Facility Phone: 734 242-6872
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: VIKTOR GONCHARUK
  • NPI Number: 1255964185
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 23D0650651
LAB Type Independent
Facility Name PINKUS DERMATOPATHOLOGY LABORATORY
Street 1314 N MACOMB ST
City MONROE
State MI
ZIP 48162
Phone 734 242-6872
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Independent
Lab Director VIKTOR GONCHARUK

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