23D1037249 CLIA NUMBER - MALCOLM SICKELS MD PC

Laboratory Demographics

  • CLIA Code: 23D1037249
  • Facility Name: MALCOLM SICKELS MD PC
  • Facility Address: 210 LITTLE LAKE DRIVE SUITE 10
    ANN ARBOR, MI
    ZIP 48103
  • Facility Phone: 734 332-9936
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MALCOLM J. SICKELS
  • NPI Number: 1841392354
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1037249
LAB Type Physician Office
Facility Name MALCOLM SICKELS MD PC
Street 210 LITTLE LAKE DRIVE SUITE 10
City ANN ARBOR
State MI
ZIP 48103
Phone 734 332-9936
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director MALCOLM J. SICKELS

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