23D1004408 CLIA NUMBER - BLOOMFIELD ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 23D1004408
  • Facility Name: BLOOMFIELD ENDOCRINOLOGY
  • Facility Address: 43902 WOODWARD AVENUE SUITE 240
    BLOOMFIELD HILLS, MI
    ZIP 48302
  • Facility Phone: 248 454-7650
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID M. BRADLEE DO
  • NPI Number: 1669756250
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1004408
LAB Type Physician Office
Facility Name BLOOMFIELD ENDOCRINOLOGY
Street 43902 WOODWARD AVENUE SUITE 240
City BLOOMFIELD HILLS
State MI
ZIP 48302
Phone 248 454-7650
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 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director DAVID M. BRADLEE DO

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