23D0995315 CLIA NUMBER - BRIAN T GIETZEN, MD, PC

Laboratory Demographics

  • CLIA Code: 23D0995315
  • Facility Name: BRIAN T GIETZEN, MD, PC
  • Facility Address: 1460 WALTON SUITE 200
    ROCHESTER HILLS, MI
    ZIP 48309
  • Facility Phone: 248 650-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN T. GIETZEN
  • NPI Number: 1639154263
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0995315
LAB Type Physician Office
Facility Name BRIAN T GIETZEN, MD, PC
Street 1460 WALTON SUITE 200
City ROCHESTER HILLS
State MI
ZIP 48309
Phone 248 650-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director BRIAN T. GIETZEN

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