23D2022228 CLIA NUMBER - TRINITY HEALTH ACADEMIC DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D2022228
  • Facility Name: TRINITY HEALTH ACADEMIC DERMATOLOGY
  • Facility Address: 5333 MC AULEY ROAD SUITE 5003
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 734 712-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BARRY I. AUSTER
  • NPI Number: 1306412184
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2022228
LAB Type Physician Office
Facility Name TRINITY HEALTH ACADEMIC DERMATOLOGY
Street 5333 MC AULEY ROAD SUITE 5003
City YPSILANTI
State MI
ZIP 48197
Phone 734 712-3376
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 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director BARRY I. AUSTER

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This page was last updated on: 6/4/2025