23D0886057 CLIA NUMBER - FRED M NOVICE MD DERMPATH LAB

Laboratory Demographics

  • CLIA Code: 23D0886057
  • Facility Name: FRED M NOVICE MD DERMPATH LAB
  • Facility Address: 4120 WEST MAPLE ROAD #206
    BLOOMFIELD HILLS, MI
    ZIP 48301
  • Facility Phone: (248) 932-2914
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: FRED M. NOVICE
  • NPI Number: 1265517635
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0886057
LAB Type Independent
Facility Name FRED M NOVICE MD DERMPATH LAB
Street 4120 WEST MAPLE ROAD #206
City BLOOMFIELD HILLS
State MI
ZIP 48301
Phone 2489322914
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 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Independent
Lab Director FRED M. NOVICE

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