23D0725269 CLIA NUMBER - STACY A JENKINS MD PLC

Laboratory Demographics

  • CLIA Code: 23D0725269
  • Facility Name: STACY A JENKINS MD PLC
  • Facility Address: 44555 WOODWARD AVENUE SUITE 202
    PONTIAC, MI
    ZIP 48341
  • Facility Phone: 248 499-9390
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STACY A. JENKINS
  • NPI Number: 1801079017
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0725269
LAB Type Physician Office
Facility Name STACY A JENKINS MD PLC
Street 44555 WOODWARD AVENUE SUITE 202
City PONTIAC
State MI
ZIP 48341
Phone 248 499-9390
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STACY A. JENKINS

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