23D0886215 CLIA NUMBER - ASSOCIATED DERMATOLOGISTS OF W BLOOMFIELD & COMMERCE

Laboratory Demographics

  • CLIA Code: 23D0886215
  • Facility Name: ASSOCIATED DERMATOLOGISTS OF W BLOOMFIELD & COMMERCE
  • Facility Address: 6330 ORCHARD LAKE ROAD SUITE 120
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Facility Phone: 248 855-3366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. DORMAN
  • NPI Number: 1992754485
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0886215
LAB Type Physician Office
Facility Name ASSOCIATED DERMATOLOGISTS OF W BLOOMFIELD & COMMERCE
Street 6330 ORCHARD LAKE ROAD SUITE 120
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 248 855-3366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director MICHAEL A. DORMAN

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