23D0938622 CLIA NUMBER - KOGER DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 23D0938622
  • Facility Name: KOGER DERMATOLOGY PC
  • Facility Address: 30301 WOODWARD AVENUE SUITE 120
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 435-6622
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ONEAL W. KOGER JR
  • NPI Number: 1942370507
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0938622
LAB Type Physician Office
Facility Name KOGER DERMATOLOGY PC
Street 30301 WOODWARD AVENUE SUITE 120
City ROYAL OAK
State MI
ZIP 48073
Phone 248 435-6622
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director ONEAL W. KOGER JR

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