23D1017221 CLIA NUMBER - PHYSICIANS FOR WOMEN PC

Laboratory Demographics

  • CLIA Code: 23D1017221
  • Facility Name: PHYSICIANS FOR WOMEN PC
  • Facility Address: 29255 NORTHWESTERN SUITE 204
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 248 355-2852
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DIONNE DICKERSON
  • NPI Number: 1952473506
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D1017221
LAB Type Physician Office
Facility Name PHYSICIANS FOR WOMEN PC
Street 29255 NORTHWESTERN SUITE 204
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 355-2852
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 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director DIONNE DICKERSON

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