23D0724297 CLIA NUMBER - MACOMB PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 23D0724297
  • Facility Name: MACOMB PEDIATRIC ASSOCIATES PC
  • Facility Address: 27070 HOOVER ROAD STE A
    WARREN, MI
    ZIP 48093
  • Facility Phone: (586) 573-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHRAF BERRY MD
  • NPI Number: 1245453125
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0724297
LAB Type Physician Office
Facility Name MACOMB PEDIATRIC ASSOCIATES PC
Street 27070 HOOVER ROAD STE A
City WARREN
State MI
ZIP 48093
Phone 5865739090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2025
Certificate Expiration Date 12/11/2027
Facility Type Physician Office
Lab Director ASHRAF BERRY MD

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This page was last updated on: 5/18/2026