23D1055071 CLIA NUMBER - TRINITY HEALTH IHA MEDICAL GROUP, OBSTETRICS & GYNECOLOGY - CLARKSTON

Laboratory Demographics

  • CLIA Code: 23D1055071
  • Facility Name: TRINITY HEALTH IHA MEDICAL GROUP, OBSTETRICS & GYNECOLOGY - CLARKSTON
  • Facility Address: 6770 DIXIE HIGHWAY SUITE 202
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: (248) 625-8555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER SHAMAN

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CLIA Record

Field Name Field Value
CLIA Number 23D1055071
LAB Type Physician Office
Facility Name TRINITY HEALTH IHA MEDICAL GROUP, OBSTETRICS & GYNECOLOGY - CLARKSTON
Street 6770 DIXIE HIGHWAY SUITE 202
City CLARKSTON
State MI
ZIP 48346
Phone 2486258555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director PETER SHAMAN

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This page was last updated on: 5/18/2026