23D0686049 CLIA NUMBER - LORI FEDORONKO MD PC

Laboratory Demographics

  • CLIA Code: 23D0686049
  • Facility Name: LORI FEDORONKO MD PC
  • Facility Address: 1350 KIRTS BLVD #155
    TROY, MI
    ZIP 48084
  • Facility Phone: 248 362-0222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LORI M. FEDORONKO
  • NPI Number: 1548250855
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0686049
LAB Type Physician Office
Facility Name LORI FEDORONKO MD PC
Street 1350 KIRTS BLVD #155
City TROY
State MI
ZIP 48084
Phone 248 362-0222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director LORI M. FEDORONKO

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: 3/20/2025