23D1009651 CLIA NUMBER - KENNETH J KULIK, MD

Laboratory Demographics

  • CLIA Code: 23D1009651
  • Facility Name: KENNETH J KULIK, MD
  • Facility Address: 44199 DEQUINDRE ROAD, SUITE 503
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 879-2322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH J. KULIK
  • NPI Number: 1295709533
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1009651
LAB Type Physician Office
Facility Name KENNETH J KULIK, MD
Street 44199 DEQUINDRE ROAD, SUITE 503
City TROY
State MI
ZIP 48085
Phone 248 879-2322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director KENNETH J. KULIK

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This page was last updated on: 3/20/2025