23D0868799 CLIA NUMBER - HEIDELBERG DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 23D0868799
  • Facility Name: HEIDELBERG DERMATOLOGY PC
  • Facility Address: 20400 LIVERNOIS AVENUE
    DETROIT, MI
    ZIP 48221
  • Facility Phone: (313) 864-3766
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN A. HEIDELBERG
  • NPI Number: 1124045075
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0868799
LAB Type Physician Office
Facility Name HEIDELBERG DERMATOLOGY PC
Street 20400 LIVERNOIS AVENUE
City DETROIT
State MI
ZIP 48221
Phone 3138643766
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 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director KAREN A. HEIDELBERG

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