23D0705473 CLIA NUMBER - OAKLAND MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 23D0705473
  • Facility Name: OAKLAND MEDICAL CENTER
  • Facility Address: 115 EAST LONG LAKE ROAD
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 687-7412
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAY H. SANDBERG
  • NPI Number: 1467481358
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0705473
LAB Type Physician Office
Facility Name OAKLAND MEDICAL CENTER
Street 115 EAST LONG LAKE ROAD
City TROY
State MI
ZIP 48085
Phone 248 687-7412
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 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director JAY H. SANDBERG

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