23D1054401 CLIA NUMBER - CLARK CENTER FOR COMPREHENSIVE MEDICINE PC

Laboratory Demographics

  • CLIA Code: 23D1054401
  • Facility Name: CLARK CENTER FOR COMPREHENSIVE MEDICINE PC
  • Facility Address: 29521 FORD ROAD
    GARDEN CITY, MI
    ZIP 48135
  • Facility Phone: 313 945-5450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD CLARK
  • NPI Number: 1861521031
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1054401
LAB Type Physician Office
Facility Name CLARK CENTER FOR COMPREHENSIVE MEDICINE PC
Street 29521 FORD ROAD
City GARDEN CITY
State MI
ZIP 48135
Phone 313 945-5450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director DONALD CLARK

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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