23D2014810 CLIA NUMBER - JACALYN M BISHOP MD PC

Laboratory Demographics

  • CLIA Code: 23D2014810
  • Facility Name: JACALYN M BISHOP MD PC
  • Facility Address: 25500 MEADOWBROOK ROAD SUITE 130
    NOVI, MI
    ZIP 48375
  • Facility Phone: 248 347-3344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACALYN M. BISHOP
  • NPI Number: 1063579415
  • Taxonomy: 2080P0205X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2014810
LAB Type Physician Office
Facility Name JACALYN M BISHOP MD PC
Street 25500 MEADOWBROOK ROAD SUITE 130
City NOVI
State MI
ZIP 48375
Phone 248 347-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director JACALYN M. BISHOP

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