23D0868421 CLIA NUMBER - CASTLEMAN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D0868421
  • Facility Name: CASTLEMAN SURGERY CENTER
  • Facility Address: 14050 DIX
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: 734 281-0100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAMAL GUPTA
  • NPI Number: 1992735286
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0868421
LAB Type Ambulatory Surgery Center
Facility Name CASTLEMAN SURGERY CENTER
Street 14050 DIX
City SOUTHGATE
State MI
ZIP 48195
Phone 734 281-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director KAMAL GUPTA

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