23D0967073 CLIA NUMBER - SHELBY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0967073
  • Facility Name: SHELBY PEDIATRICS
  • Facility Address: 47389 VAN DYKE AVE
    SHELBY TOWNSHIP, MI
    ZIP 48317
  • Facility Phone: 586 739-8030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD A. BITAR
  • NPI Number: 1730270661
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0967073
LAB Type Physician Office
Facility Name SHELBY PEDIATRICS
Street 47389 VAN DYKE AVE
City SHELBY TOWNSHIP
State MI
ZIP 48317
Phone 586 739-8030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director MOHAMMAD A. BITAR

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