23D2059435 CLIA NUMBER - BERKLEY MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 23D2059435
  • Facility Name: BERKLEY MEDICAL CENTERS
  • Facility Address: 3345 COOLIDGE HIGHWAY
    BERKLEY, MI
    ZIP 48072
  • Facility Phone: 248 544-7110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIAN MISHO
  • NPI Number: 1801136395
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2059435
LAB Type Physician Office
Facility Name BERKLEY MEDICAL CENTERS
Street 3345 COOLIDGE HIGHWAY
City BERKLEY
State MI
ZIP 48072
Phone 248 544-7110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director VIAN MISHO

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