23D1029039 CLIA NUMBER - COMMERCE PEDIATRICS ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 23D1029039
  • Facility Name: COMMERCE PEDIATRICS ASSOCIATES PC
  • Facility Address: 2900 UNION LAKE ROAD SUITE 130
    COMMERCE TOWNSHIP, MI
    ZIP 48382
  • Facility Phone: 248 366-0101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDIPTA DHAR MD
  • NPI Number: 1093069346
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1029039
LAB Type Physician Office
Facility Name COMMERCE PEDIATRICS ASSOCIATES PC
Street 2900 UNION LAKE ROAD SUITE 130
City COMMERCE TOWNSHIP
State MI
ZIP 48382
Phone 248 366-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director SUDIPTA DHAR MD

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