23D1006651 CLIA NUMBER - ROCHESTER HILLS PEDIATRICS

Laboratory Demographics

CLIA Number: 23D1006651

Facility Name: ROCHESTER HILLS PEDIATRICS

Facility Address:
2840 CROOKS ROAD SUITE 100
ROCHESTER HILLS, MI
ZIP 48309
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Facility Phone Number: 248 844-8890

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942402656

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	23D1006651
LAB Type	Physician Office
Facility Name	ROCHESTER HILLS PEDIATRICS
Street	2840 CROOKS ROAD SUITE 100
City	ROCHESTER HILLS
State	MI
ZIP	48309
Phone	248 844-8890
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024