23D1051190 CLIA NUMBER - JANE K SYRIAC MD PC

Laboratory Demographics

  • CLIA Code: 23D1051190
  • Facility Name: JANE K SYRIAC MD PC
  • Facility Address: 2300 HAGGERTY ROAD SUITE 2190
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 248 960-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANE K. SYRIAC
  • NPI Number: 1336175512
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1051190
LAB Type Physician Office
Facility Name JANE K SYRIAC MD PC
Street 2300 HAGGERTY ROAD SUITE 2190
City WEST BLOOMFIELD
State MI
ZIP 48323
Phone 248 960-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director JANE K. SYRIAC

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