23D1022023 CLIA NUMBER - SOMERSET FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 23D1022023
  • Facility Name: SOMERSET FAMILY MEDICINE
  • Facility Address: 1615 W BIG BEAVER SUITE A4
    TROY, MI
    ZIP 48084
  • Facility Phone: 248 816-1010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL D. JADDOU
  • NPI Number: 1679655823
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1022023
LAB Type Physician Office
Facility Name SOMERSET FAMILY MEDICINE
Street 1615 W BIG BEAVER SUITE A4
City TROY
State MI
ZIP 48084
Phone 248 816-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director NEIL D. JADDOU

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