23D0694922 CLIA NUMBER - ROBERTO BENEJAM MD PC

Laboratory Demographics

  • CLIA Code: 23D0694922
  • Facility Name: ROBERTO BENEJAM MD PC
  • Facility Address: 15212 MICHIGAN AVENUE
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 581-8442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTO BENEJAM
  • NPI Number: 1295893899
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0694922
LAB Type Physician Office
Facility Name ROBERTO BENEJAM MD PC
Street 15212 MICHIGAN AVENUE
City DEARBORN
State MI
ZIP 48126
Phone 313 581-8442
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 ROBERTO BENEJAM

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