23D1078716 CLIA NUMBER - MICHAEL E STACHECKI MD PLLC

Laboratory Demographics

  • CLIA Code: 23D1078716
  • Facility Name: MICHAEL E STACHECKI MD PLLC
  • Facility Address: 5730 BELLA ROSA BLVD SUITE 200
    CLARKSTON, MI
    ZIP 48348
  • Facility Phone: 248 620-1720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. STACHECKI
  • NPI Number: 1659345056
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1078716
LAB Type Physician Office
Facility Name MICHAEL E STACHECKI MD PLLC
Street 5730 BELLA ROSA BLVD SUITE 200
City CLARKSTON
State MI
ZIP 48348
Phone 248 620-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director MICHAEL E. STACHECKI

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