23D0872627 CLIA NUMBER - PREMIERE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0872627
  • Facility Name: PREMIERE PEDIATRICS
  • Facility Address: 7210 ORTONVILLE ROAD SUITE 205
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: (248) 625-9755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES SHAYA
  • NPI Number: 1134291982
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0872627
LAB Type Physician Office
Facility Name PREMIERE PEDIATRICS
Street 7210 ORTONVILLE ROAD SUITE 205
City CLARKSTON
State MI
ZIP 48346
Phone 2486259755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director JAMES SHAYA

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