23D0877966 CLIA NUMBER - BRIGHTON PEDIATRICS CENTER

Laboratory Demographics

  • CLIA Code: 23D0877966
  • Facility Name: BRIGHTON PEDIATRICS CENTER
  • Facility Address: 8550 W GRAND RIVER SUITE 300
    BRIGHTON, MI
    ZIP 48116
  • Facility Phone: 810 220-3700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BASHAR QALIEH MD
  • NPI Number: 1447399969
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0877966
LAB Type Physician Office
Facility Name BRIGHTON PEDIATRICS CENTER
Street 8550 W GRAND RIVER SUITE 300
City BRIGHTON
State MI
ZIP 48116
Phone 810 220-3700
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 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director BASHAR QALIEH MD

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