23D1055067 CLIA NUMBER - CLINICAL NEUROPHYSIOLOGY SERVICES PC

Laboratory Demographics

  • CLIA Code: 23D1055067
  • Facility Name: CLINICAL NEUROPHYSIOLOGY SERVICES PC
  • Facility Address: 44344 DEQUINDRE ROAD SUITE 360
    STERLING HEIGHTS, MI
    ZIP 48314
  • Facility Phone: 586 254-0707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: R BART SANGAL
  • NPI Number: 1326211715
  • Taxonomy: 2084S0012X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D1055067
LAB Type Physician Office
Facility Name CLINICAL NEUROPHYSIOLOGY SERVICES PC
Street 44344 DEQUINDRE ROAD SUITE 360
City STERLING HEIGHTS
State MI
ZIP 48314
Phone 586 254-0707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director R BART SANGAL

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