23D0870804 CLIA NUMBER - EDGEWOOD CENTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0870804
  • Facility Name: EDGEWOOD CENTER PEDIATRICS
  • Facility Address: 8896 COMMERCE RD STE 5
    COMMERCE TWP, MI
    ZIP 48382
  • Facility Phone: 248 360-9241
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRIAN S. GENDELMAN
  • NPI Number: 1295831550
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0870804
LAB Type Physician Office
Facility Name EDGEWOOD CENTER PEDIATRICS
Street 8896 COMMERCE RD STE 5
City COMMERCE TWP
State MI
ZIP 48382
Phone 248 360-9241
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director BRIAN S. GENDELMAN

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