23D0966754 CLIA NUMBER - KEITH M TOBIN, DO, PC

Laboratory Demographics

  • CLIA Code: 23D0966754
  • Facility Name: KEITH M TOBIN, DO, PC
  • Facility Address: 28701 PLYMOUTH ROAD
    LIVONIA, MI
    ZIP 48150
  • Facility Phone: 734 427-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH M. TOBIN
  • NPI Number: 1083611560
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0966754
LAB Type Physician Office
Facility Name KEITH M TOBIN, DO, PC
Street 28701 PLYMOUTH ROAD
City LIVONIA
State MI
ZIP 48150
Phone 734 427-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director KEITH M. TOBIN

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