23D0953888 CLIA NUMBER - PEDIATRIC CARE CORNER, PC

Laboratory Demographics

  • CLIA Code: 23D0953888
  • Facility Name: PEDIATRIC CARE CORNER, PC
  • Facility Address: 2300 HAGGERTY ROAD SUITE 2110
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 248 926-1411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELEN S. ECONOMY
  • NPI Number: 1508864687
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0953888
LAB Type Physician Office
Facility Name PEDIATRIC CARE CORNER, PC
Street 2300 HAGGERTY ROAD SUITE 2110
City WEST BLOOMFIELD
State MI
ZIP 48323
Phone 248 926-1411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director HELEN S. ECONOMY

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