23D0901391 CLIA NUMBER - DAVISON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0901391
  • Facility Name: DAVISON PEDIATRICS
  • Facility Address: 1260 N IRISH ROAD SUITE A
    DAVISON, MI
    ZIP 48423
  • Facility Phone: 810 658-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMAL HASAN
  • NPI Number: 1609165646
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0901391
LAB Type Physician Office
Facility Name DAVISON PEDIATRICS
Street 1260 N IRISH ROAD SUITE A
City DAVISON
State MI
ZIP 48423
Phone 810 658-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director KAMAL HASAN

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This page was last updated on: 6/4/2025