23D1072954 CLIA NUMBER - DUNDEE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D1072954
  • Facility Name: DUNDEE PEDIATRICS PLLC
  • Facility Address: 120 WATERSTRADT COMMERCE DR SUITE ONE
    DUNDEE, MI
    ZIP 48131
  • Facility Phone: 734 823-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE DAILL MD
  • NPI Number: 1447689302
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 23D1072954
LAB Type Physician Office
Facility Name DUNDEE PEDIATRICS PLLC
Street 120 WATERSTRADT COMMERCE DR SUITE ONE
City DUNDEE
State MI
ZIP 48131
Phone 734 823-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director MICHELLE DAILL MD

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