23D2006795 CLIA NUMBER - GREENFIELD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D2006795
  • Facility Name: GREENFIELD PEDIATRICS
  • Facility Address: 15990 W 9 MILE ROAD SUITE 100
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: (248) 559-7958
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HASAN HASABA
  • NPI Number: 1184993404
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2006795
LAB Type Physician Office
Facility Name GREENFIELD PEDIATRICS
Street 15990 W 9 MILE ROAD SUITE 100
City SOUTHFIELD
State MI
ZIP 48075
Phone 2485597958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2026
Certificate Expiration Date 4/28/2028
Facility Type Physician Office
Lab Director HASAN HASABA

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This page was last updated on: 5/15/2026