23D0943960 CLIA NUMBER - MICHAEL G TAYLOR MD

Laboratory Demographics

  • CLIA Code: 23D0943960
  • Facility Name: MICHAEL G TAYLOR MD
  • Facility Address: 15565 NORTHLAND DRIVE SUITE 106E
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 552-0880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. TAYLOR
  • NPI Number: 1700926961
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0943960
LAB Type Physician Office
Facility Name MICHAEL G TAYLOR MD
Street 15565 NORTHLAND DRIVE SUITE 106E
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 552-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director MICHAEL G. TAYLOR

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