23D2028304 CLIA NUMBER - TENDER CARE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D2028304
  • Facility Name: TENDER CARE PEDIATRICS PLLC
  • Facility Address: 58115 MAIN STREET
    NEW HAVEN, MI
    ZIP 48048
  • Facility Phone: 586 749-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXIS R. BALOMENOS
  • NPI Number: 1992084693
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2028304
LAB Type Physician Office
Facility Name TENDER CARE PEDIATRICS PLLC
Street 58115 MAIN STREET
City NEW HAVEN
State MI
ZIP 48048
Phone 586 749-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director ALEXIS R. BALOMENOS

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