23D0983415 CLIA NUMBER - OAKLAND PEDIATRICS, PLC

Laboratory Demographics

  • CLIA Code: 23D0983415
  • Facility Name: OAKLAND PEDIATRICS, PLC
  • Facility Address: 100 NORTH POND DRIVE, SUITE E
    WALLED LAKE, MI
    ZIP 48390
  • Facility Phone: (248) 669-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REGINA E. RIZK, MD
  • NPI Number: 1528155264
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0983415
LAB Type Physician Office
Facility Name OAKLAND PEDIATRICS, PLC
Street 100 NORTH POND DRIVE, SUITE E
City WALLED LAKE
State MI
ZIP 48390
Phone 2486692273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director REGINA E. RIZK, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026