23D1065063 CLIA NUMBER - WEST OAKLAND INTERNISTS

Laboratory Demographics

  • CLIA Code: 23D1065063
  • Facility Name: WEST OAKLAND INTERNISTS
  • Facility Address: 44000 W 12 MILE ROAD SUITE 200
    NOVI, MI
    ZIP 48377
  • Facility Phone: 248 347-8191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STAFFORD A. PRESTON
  • NPI Number: 1487625976
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1065063
LAB Type Physician Office
Facility Name WEST OAKLAND INTERNISTS
Street 44000 W 12 MILE ROAD SUITE 200
City NOVI
State MI
ZIP 48377
Phone 248 347-8191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director STAFFORD A. PRESTON

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