23D0682083 CLIA NUMBER - ROBERT B FERGUSON MD

Laboratory Demographics

  • CLIA Code: 23D0682083
  • Facility Name: ROBERT B FERGUSON MD
  • Facility Address: 4256 ORCHARD LAKE ROAD
    W BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 248 682-1720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT FERGUSON MD
  • NPI Number: 1174694673
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0682083
LAB Type Physician Office
Facility Name ROBERT B FERGUSON MD
Street 4256 ORCHARD LAKE ROAD
City W BLOOMFIELD
State MI
ZIP 48323
Phone 248 682-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director ROBERT FERGUSON MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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