23D2102651 CLIA NUMBER - BAY PEDIATRIC CLINIC P C

Laboratory Demographics

  • CLIA Code: 23D2102651
  • Facility Name: BAY PEDIATRIC CLINIC P C
  • Facility Address: 2110 16TH STREET
    BAY CITY, MI
    ZIP 48708
  • Facility Phone: 989 892-2517
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BILUGLI M. SUNDARA
  • NPI Number: 1326101205
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2102651
LAB Type Physician Office
Facility Name BAY PEDIATRIC CLINIC P C
Street 2110 16TH STREET
City BAY CITY
State MI
ZIP 48708
Phone 989 892-2517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director BILUGLI M. SUNDARA

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