23D1078237 CLIA NUMBER - LAPEER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D1078237
  • Facility Name: LAPEER PEDIATRICS
  • Facility Address: 1083 SUNCREST DRIVE SUITE A
    LAPEER, MI
    ZIP 48446
  • Facility Phone: 810 245-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED AL HARASTANI
  • NPI Number: 1265623276
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1078237
LAB Type Physician Office
Facility Name LAPEER PEDIATRICS
Street 1083 SUNCREST DRIVE SUITE A
City LAPEER
State MI
ZIP 48446
Phone 810 245-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director MOHAMMED AL HARASTANI

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