23D0671668 CLIA NUMBER - MARK HERTZBERG MD PC

Laboratory Demographics

  • CLIA Code: 23D0671668
  • Facility Name: MARK HERTZBERG MD PC
  • Facility Address: 44150 12 MILE ROAD SUITE 100
    NOVI, MI
    ZIP 48377
  • Facility Phone: 248 357-3220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK G. HERTZBERG
  • NPI Number: 1497739080
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0671668
LAB Type Physician Office
Facility Name MARK HERTZBERG MD PC
Street 44150 12 MILE ROAD SUITE 100
City NOVI
State MI
ZIP 48377
Phone 248 357-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director MARK G. HERTZBERG

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