23D0875013 CLIA NUMBER - MICHIGAN PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 23D0875013
  • Facility Name: MICHIGAN PHYSICIANS GROUP
  • Facility Address: 14325 MIDDLEBELT ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 734 427-9222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA P. SHAH
  • NPI Number: 1235472887
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0875013
LAB Type Physician Office
Facility Name MICHIGAN PHYSICIANS GROUP
Street 14325 MIDDLEBELT ROAD
City LIVONIA
State MI
ZIP 48154
Phone 734 427-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director RITA P. SHAH

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