23D0921757 CLIA NUMBER - MENDELSON KORNBLUM ORTHOPEDIC SPINE SPECIALIST

Laboratory Demographics

  • CLIA Code: 23D0921757
  • Facility Name: MENDELSON KORNBLUM ORTHOPEDIC SPINE SPECIALIST
  • Facility Address: 36622 FIVE MILE ROAD SUITE 101
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 734 542-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAUDIA F. ROWLAND
  • NPI Number: 1720395205
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D0921757
LAB Type Physician Office
Facility Name MENDELSON KORNBLUM ORTHOPEDIC SPINE SPECIALIST
Street 36622 FIVE MILE ROAD SUITE 101
City LIVONIA
State MI
ZIP 48154
Phone 734 542-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director CLAUDIA F. ROWLAND

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