23D1010243 CLIA NUMBER - TWELVE OAKS PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D1010243
  • Facility Name: TWELVE OAKS PEDIATRICS PLLC
  • Facility Address: 44070 W 12 MILE ROAD SUITE 100
    NOVI, MI
    ZIP 48377
  • Facility Phone: 248 347-8040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERYL L. HIRSCH
  • NPI Number: 1700123817
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1010243
LAB Type Physician Office
Facility Name TWELVE OAKS PEDIATRICS PLLC
Street 44070 W 12 MILE ROAD SUITE 100
City NOVI
State MI
ZIP 48377
Phone 248 347-8040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director SHERYL L. HIRSCH

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