23D0679517 CLIA NUMBER - GASTROINTESTINAL SPECIALISTS PC

Laboratory Demographics

  • CLIA Code: 23D0679517
  • Facility Name: GASTROINTESTINAL SPECIALISTS PC
  • Facility Address: 264 W MAPLE ROAD, SUITE 200
    TROY, MI
    ZIP 48084
  • Facility Phone: 248 273-9930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL DUFFY
  • NPI Number: 1780750125
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0679517
LAB Type Physician Office
Facility Name GASTROINTESTINAL SPECIALISTS PC
Street 264 W MAPLE ROAD, SUITE 200
City TROY
State MI
ZIP 48084
Phone 248 273-9930
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 MICHAEL DUFFY

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