23D1009653 CLIA NUMBER - PAMELA L REAVES, MD, PC

Laboratory Demographics

  • CLIA Code: 23D1009653
  • Facility Name: PAMELA L REAVES, MD, PC
  • Facility Address: 20176 LIVERNOIS AVENUE, SUITE 101 SHERWOOD PROFESSIONAL BUILDING
    DETROIT, MI
    ZIP 48221
  • Facility Phone: 313 927-0000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAMELA L. REAVES
  • NPI Number: 1952340804
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1009653
LAB Type Physician Office
Facility Name PAMELA L REAVES, MD, PC
Street 20176 LIVERNOIS AVENUE, SUITE 101 SHERWOOD PROFESSIONAL BUILDING
City DETROIT
State MI
ZIP 48221
Phone 313 927-0000
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 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director PAMELA L. REAVES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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