23D0714243 CLIA NUMBER - CHOWDHURY MD PLLC

Laboratory Demographics

  • CLIA Code: 23D0714243
  • Facility Name: CHOWDHURY MD PLLC
  • Facility Address: 8795 PINE RIDGE DRIVE SUITE B
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 779-9960
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHOAIB A. CHOWDHURY
  • NPI Number: 1518104124
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0714243
LAB Type Physician Office
Facility Name CHOWDHURY MD PLLC
Street 8795 PINE RIDGE DRIVE SUITE B
City CADILLAC
State MI
ZIP 49601
Phone 231 779-9960
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 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director SHOAIB A. CHOWDHURY

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This page was last updated on: 6/4/2025