23D1003167 CLIA NUMBER - ST CLAIR SPECIALTY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 23D1003167
  • Facility Name: ST CLAIR SPECIALTY PHYSICIANS
  • Facility Address: 45650 SCHOENHERR
    SHELBY TOWNSHIP, MI
    ZIP 48315
  • Facility Phone: 586 247-7800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JUKAKU S. TAYEB
  • NPI Number: 1487257226
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 23D1003167
LAB Type Physician Office
Facility Name ST CLAIR SPECIALTY PHYSICIANS
Street 45650 SCHOENHERR
City SHELBY TOWNSHIP
State MI
ZIP 48315
Phone 586 247-7800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director DR. JUKAKU S. TAYEB

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