23D1022835 CLIA NUMBER - DETROIT MEDICAL GROUP PLLC

Laboratory Demographics

CLIA Number: 23D1022835

Facility Name: DETROIT MEDICAL GROUP PLLC

Facility Address:
14071 E SEVEN MILE
DETROIT, MI
ZIP 48205
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Facility Phone Number: 313 371-2828

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255439956

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1022835
LAB Type	Physician Office
Facility Name	DETROIT MEDICAL GROUP PLLC
Street	14071 E SEVEN MILE
City	DETROIT
State	MI
ZIP	48205
Phone	313 371-2828
CertificateType	3
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024