23D0687945 CLIA NUMBER - JENNIFER CAUDILL MD PLLC

Laboratory Demographics

  • CLIA Code: 23D0687945
  • Facility Name: JENNIFER CAUDILL MD PLLC
  • Facility Address: 5885 S MAIN ST SUITE 1
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 623-9700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER CAUDILL
  • NPI Number: 1518175116
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0687945
LAB Type Physician Office
Facility Name JENNIFER CAUDILL MD PLLC
Street 5885 S MAIN ST SUITE 1
City CLARKSTON
State MI
ZIP 48346
Phone 248 623-9700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director JENNIFER CAUDILL

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