23D1010900 CLIA NUMBER - DEON D MIDDLEBROOK, MD, PC

Laboratory Demographics

  • CLIA Code: 23D1010900
  • Facility Name: DEON D MIDDLEBROOK, MD, PC
  • Facility Address: 20176 LIVERNOIS, SUITE 204
    DETROIT, MI
    ZIP 48221
  • Facility Phone: 313 864-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEON D. MIDDLEBROOK
  • NPI Number: 1689885535
  • Taxonomy: 170100000X - Medical Genetics, Ph.D. Medical Genetics

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CLIA Record

Field Name Field Value
CLIA Number 23D1010900
LAB Type Physician Office
Facility Name DEON D MIDDLEBROOK, MD, PC
Street 20176 LIVERNOIS, SUITE 204
City DETROIT
State MI
ZIP 48221
Phone 313 864-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director DEON D. MIDDLEBROOK

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