23D0991977 CLIA NUMBER - DUDLEY ROBERTS III, MD

Laboratory Demographics

  • CLIA Code: 23D0991977
  • Facility Name: DUDLEY ROBERTS III, MD
  • Facility Address: 18245 E 10 MILE ROAD SUITE 120
    ROSEVILLE, MI
    ZIP 48066
  • Facility Phone: 586 774-8710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUDLEY ROBERTS
  • NPI Number: 1922094507
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0991977
LAB Type Physician Office
Facility Name DUDLEY ROBERTS III, MD
Street 18245 E 10 MILE ROAD SUITE 120
City ROSEVILLE
State MI
ZIP 48066
Phone 586 774-8710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Physician Office
Lab Director DUDLEY ROBERTS

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: 9/29/2025