23D0956390 CLIA NUMBER - ROBERT VARTABEDIAN PC

Laboratory Demographics

  • CLIA Code: 23D0956390
  • Facility Name: ROBERT VARTABEDIAN PC
  • Facility Address: 990 W ANN ARBOR TRAIL SUITE 104
    PLYMOUTH, MI
    ZIP 48170
  • Facility Phone: 734 414-1099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT VARTABEDIAN
  • NPI Number: 1356310114
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0956390
LAB Type Physician Office
Facility Name ROBERT VARTABEDIAN PC
Street 990 W ANN ARBOR TRAIL SUITE 104
City PLYMOUTH
State MI
ZIP 48170
Phone 734 414-1099
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 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director ROBERT VARTABEDIAN

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