Healther Providers Data Logo

23D1040817 CLIA NUMBER - GREAT LAKES PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 23D1040817

Facility Name: GREAT LAKES PEDIATRIC ASSOCIATES

Facility Address:
3400 PINE TREE ROAD SUITE 102
LANSING, MI
ZIP 48911
Get Directions

Facility Phone Number: 517 887-3000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1023342474

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 23D1040817
LAB Type Physician Office
Facility Name GREAT LAKES PEDIATRIC ASSOCIATES
Street 3400 PINE TREE ROAD SUITE 102
City LANSING
State MI
ZIP 48911
Phone 517 887-3000
CertificateType 4
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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