23D1049625 CLIA NUMBER - DEVYANI KHAMBETE MD PC

Laboratory Demographics

  • CLIA Code: 23D1049625
  • Facility Name: DEVYANI KHAMBETE MD PC
  • Facility Address: 2561 ELIZABETH LAKE ROAD SUITE B
    WATERFORD, MI
    ZIP 48328
  • Facility Phone: 248 682-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVYANI KHAMBELE
  • NPI Number: 1518916147
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1049625
LAB Type Physician Office
Facility Name DEVYANI KHAMBETE MD PC
Street 2561 ELIZABETH LAKE ROAD SUITE B
City WATERFORD
State MI
ZIP 48328
Phone 248 682-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director DEVYANI KHAMBELE

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