23D0712430 CLIA NUMBER - GLENN BAUER MD

Laboratory Demographics

  • CLIA Code: 23D0712430
  • Facility Name: GLENN BAUER MD
  • Facility Address: 6600 HIGHLAND ROAD SUITE 25
    WATERFORD, MI
    ZIP 48327
  • Facility Phone: 248 666-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN D. BAUER
  • NPI Number: 1780732255
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0712430
LAB Type Physician Office
Facility Name GLENN BAUER MD
Street 6600 HIGHLAND ROAD SUITE 25
City WATERFORD
State MI
ZIP 48327
Phone 248 666-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director GLENN D. BAUER

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