23D1051196 CLIA NUMBER - MICHAEL J MAHON DO PC

Laboratory Demographics

  • CLIA Code: 23D1051196
  • Facility Name: MICHAEL J MAHON DO PC
  • Facility Address: 21141 MIDDLEBELT ROAD
    FARMINGTON HILLS, MI
    ZIP 48336
  • Facility Phone: 248 477-7022
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL J. MAHON
  • NPI Number: 1013904549
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D1051196
LAB Type Physician Office
Facility Name MICHAEL J MAHON DO PC
Street 21141 MIDDLEBELT ROAD
City FARMINGTON HILLS
State MI
ZIP 48336
Phone 248 477-7022
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director MICHAEL J. MAHON

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