23D2013481 CLIA NUMBER - METROPOLITAN DERMATOLOGY CENTER PC

Laboratory Demographics

  • CLIA Code: 23D2013481
  • Facility Name: METROPOLITAN DERMATOLOGY CENTER PC
  • Facility Address: 2077 HILLER ROAD
    WEST BLOOMFIELD, MI
    ZIP 48324
  • Facility Phone: 248 743-9330
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE MALICK
  • NPI Number: 1962675207
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2013481
LAB Type Physician Office
Facility Name METROPOLITAN DERMATOLOGY CENTER PC
Street 2077 HILLER ROAD
City WEST BLOOMFIELD
State MI
ZIP 48324
Phone 248 743-9330
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 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director GEORGE MALICK

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