23D2101785 CLIA NUMBER - GANGER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D2101785
  • Facility Name: GANGER DERMATOLOGY
  • Facility Address: 49200 WIXOM TECH DRIVE
    WIXOM, MI
    ZIP 48393
  • Facility Phone: 734 344-4567
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA K. GANGER
  • NPI Number: 1720347248
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2101785
LAB Type Physician Office
Facility Name GANGER DERMATOLOGY
Street 49200 WIXOM TECH DRIVE
City WIXOM
State MI
ZIP 48393
Phone 734 344-4567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director LAURA K. GANGER

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