23D2105276 CLIA NUMBER - ALL STAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D2105276
  • Facility Name: ALL STAR PEDIATRICS
  • Facility Address: 8203 S SAGINAW STREET
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 584-7511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIVANI CHOUDHARY
  • NPI Number: 1184094682
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2105276
LAB Type Physician Office
Facility Name ALL STAR PEDIATRICS
Street 8203 S SAGINAW STREET
City GRAND BLANC
State MI
ZIP 48439
Phone 810 584-7511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director SHIVANI CHOUDHARY

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