23D0969273 CLIA NUMBER - PATRICK A CHARLES, MD, PC

Laboratory Demographics

  • CLIA Code: 23D0969273
  • Facility Name: PATRICK A CHARLES, MD, PC
  • Facility Address: 18601 MACK AVENUE
    DETROIT, MI
    ZIP 48236
  • Facility Phone: 313 640-1250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK A. CHARLES, MD
  • NPI Number: 1396742151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0969273
LAB Type Physician Office
Facility Name PATRICK A CHARLES, MD, PC
Street 18601 MACK AVENUE
City DETROIT
State MI
ZIP 48236
Phone 313 640-1250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director PATRICK A. CHARLES, MD

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