23D1094088 CLIA NUMBER - FLAT ROCK CARDIOLOGY PC

Laboratory Demographics

  • CLIA Code: 23D1094088
  • Facility Name: FLAT ROCK CARDIOLOGY PC
  • Facility Address: 29100 GATEWAY BLVD SUITE 300
    FLAT ROCK, MI
    ZIP 48134
  • Facility Phone: 734 379-0781
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. KALATA
  • NPI Number: 1578891735
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1094088
LAB Type Physician Office
Facility Name FLAT ROCK CARDIOLOGY PC
Street 29100 GATEWAY BLVD SUITE 300
City FLAT ROCK
State MI
ZIP 48134
Phone 734 379-0781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director MICHAEL A. KALATA

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