23D2019263 CLIA NUMBER - OAK TREE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 23D2019263
  • Facility Name: OAK TREE PEDIATRICS PC
  • Facility Address: 401 E GRAND RIVER
    BRIGHTON, MI
    ZIP 48116
  • Facility Phone: 810 225-7334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBORAH A. MC EWEN
  • NPI Number: 1104121615
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2019263
LAB Type Physician Office
Facility Name OAK TREE PEDIATRICS PC
Street 401 E GRAND RIVER
City BRIGHTON
State MI
ZIP 48116
Phone 810 225-7334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DEBORAH A. MC EWEN

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