23D0916007 CLIA NUMBER - LISA A MANZ DULAC, MD ASSOCIATES PC

Laboratory Demographics

CLIA Number: 23D0916007

Facility Name: LISA A MANZ DULAC, MD ASSOCIATES PC

Facility Address:
20030 MACK AVENUE
GROSSE POINTE WOODS, MI
ZIP 48236
Get Directions

Facility Phone Number: 313 884-3380

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1871552497

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	23D0916007
LAB Type	Physician Office
Facility Name	LISA A MANZ DULAC, MD ASSOCIATES PC
Street	20030 MACK AVENUE
City	GROSSE POINTE WOODS
State	MI
ZIP	48236
Phone	313 884-3380
CertificateType	3
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024