23D2012098 CLIA NUMBER - DMC OBSTETRICS, GYNECOLOGY & FAMILY MEDICINE - HARTLAND

Laboratory Demographics

  • CLIA Code: 23D2012098
  • Facility Name: DMC OBSTETRICS, GYNECOLOGY & FAMILY MEDICINE - HARTLAND
  • Facility Address: 11166 HIGHLAND RD
    HARTLAND, MI
    ZIP 48353
  • Facility Phone: 810 632-0092
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TROY L. SIBSON
  • NPI Number: 1053628263
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2012098
LAB Type Physician Office
Facility Name DMC OBSTETRICS, GYNECOLOGY & FAMILY MEDICINE - HARTLAND
Street 11166 HIGHLAND RD
City HARTLAND
State MI
ZIP 48353
Phone 810 632-0092
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director TROY L. SIBSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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