23D0877946 CLIA NUMBER - MICHIGAN PHYSICIANS GROUP, PC

Laboratory Demographics

  • CLIA Code: 23D0877946
  • Facility Name: MICHIGAN PHYSICIANS GROUP, PC
  • Facility Address: 2905 12 MILE ROAD
    BERKLEY, MI
    ZIP 48072
  • Facility Phone: 248 541-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA P. SHAH
  • NPI Number: 1518041052
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0877946
LAB Type Physician Office
Facility Name MICHIGAN PHYSICIANS GROUP, PC
Street 2905 12 MILE ROAD
City BERKLEY
State MI
ZIP 48072
Phone 248 541-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director RITA P. SHAH

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