23D1019388 CLIA NUMBER - BEN GO MD PC

Laboratory Demographics

  • CLIA Code: 23D1019388
  • Facility Name: BEN GO MD PC
  • Facility Address: 14720 KING ROAD SUITE B
    RIVERVIEW, MI
    ZIP 48193
  • Facility Phone: 734 692-6676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENEDICT L. GO
  • NPI Number: 1225217847
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1019388
LAB Type Physician Office
Facility Name BEN GO MD PC
Street 14720 KING ROAD SUITE B
City RIVERVIEW
State MI
ZIP 48193
Phone 734 692-6676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director BENEDICT L. GO

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