23D1030205 CLIA NUMBER - PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS

Laboratory Demographics

  • CLIA Code: 23D1030205
  • Facility Name: PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS
  • Facility Address: 43097 WOODWARD AVENUE SUITE 201
    BLOOMFIELD HILLS, MI
    ZIP 48302
  • Facility Phone: 248 454-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTA A. SHILLING
  • NPI Number: 1023197357
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1030205
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS
Street 43097 WOODWARD AVENUE SUITE 201
City BLOOMFIELD HILLS
State MI
ZIP 48302
Phone 248 454-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHRISTA A. SHILLING

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This page was last updated on: 3/20/2025