23D1058523 CLIA NUMBER - CANTON CENTER PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 23D1058523
  • Facility Name: CANTON CENTER PEDIATRICS, PC
  • Facility Address: 6492 N CANTON CENTER ROAD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 254-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAQIR A. MALIK MD
  • NPI Number: 1487782462
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1058523
LAB Type Physician Office
Facility Name CANTON CENTER PEDIATRICS, PC
Street 6492 N CANTON CENTER ROAD
City CANTON
State MI
ZIP 48187
Phone 734 254-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director BAQIR A. MALIK MD

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