23D1036249 CLIA NUMBER - MASON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D1036249
  • Facility Name: MASON PEDIATRICS
  • Facility Address: 200 TEMPLE STREET
    MASON, MI
    ZIP 48854
  • Facility Phone: 517 978-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE E. SUESS
  • NPI Number: 1902815186
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1036249
LAB Type Physician Office
Facility Name MASON PEDIATRICS
Street 200 TEMPLE STREET
City MASON
State MI
ZIP 48854
Phone 517 978-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director ANNE E. SUESS

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