23D2116435 CLIA NUMBER - ADVANCED DERMATOLOGY OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D2116435
  • Facility Name: ADVANCED DERMATOLOGY OF MICHIGAN
  • Facility Address: 42505 WOODWARD AVENUE SUITE 200
    BLOOMFIELD HILLS, MI
    ZIP 48304
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MICHAEL W. WHITWORTH
  • NPI Number: 1497369953
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2116435
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF MICHIGAN
Street 42505 WOODWARD AVENUE SUITE 200
City BLOOMFIELD HILLS
State MI
ZIP 48304
Phone 407 284-3407
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director MICHAEL W. WHITWORTH

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