23D2099440 CLIA NUMBER - FOX PEDIATRICS, PLC

Laboratory Demographics

  • CLIA Code: 23D2099440
  • Facility Name: FOX PEDIATRICS, PLC
  • Facility Address: 1205 S MISSION STREET SUITE 4
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: (989) 400-4369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONSTANZA I. FOX
  • NPI Number: 1730564105
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2099440
LAB Type Physician Office
Facility Name FOX PEDIATRICS, PLC
Street 1205 S MISSION STREET SUITE 4
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 9894004369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director CONSTANZA I. FOX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026