23D0959474 CLIA NUMBER - TRI COUNTY GASTROENTEROLOGY, PC

Laboratory Demographics

  • CLIA Code: 23D0959474
  • Facility Name: TRI COUNTY GASTROENTEROLOGY, PC
  • Facility Address: 37399 GARFIELD SUITE 104
    CLINTON TOWNSHIP, MI
    ZIP 48036
  • Facility Phone: 586 286-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE S. KOVAN
  • NPI Number: 1285695932
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0959474
LAB Type Physician Office
Facility Name TRI COUNTY GASTROENTEROLOGY, PC
Street 37399 GARFIELD SUITE 104
City CLINTON TOWNSHIP
State MI
ZIP 48036
Phone 586 286-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director BRUCE S. KOVAN

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