23D1007512 CLIA NUMBER - BALDEV GUPTA, MD, PC

Laboratory Demographics

  • CLIA Code: 23D1007512
  • Facility Name: BALDEV GUPTA, MD, PC
  • Facility Address: 3700 WEST ROAD
    TRENTON, MI
    ZIP 48183
  • Facility Phone: 734 676-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BALDEV GUPTA
  • NPI Number: 1720168164
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1007512
LAB Type Physician Office
Facility Name BALDEV GUPTA, MD, PC
Street 3700 WEST ROAD
City TRENTON
State MI
ZIP 48183
Phone 734 676-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director BALDEV GUPTA

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