23D2119844 CLIA NUMBER - ENGLER PLLC DBA SOUTHGATE OB/GYN

Laboratory Demographics

  • CLIA Code: 23D2119844
  • Facility Name: ENGLER PLLC DBA SOUTHGATE OB/GYN
  • Facility Address: 15265 NORTHLINE ROAD
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: 734 281-7040
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRACE A. ENGLER
  • NPI Number: 1457758682
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2119844
LAB Type Physician Office
Facility Name ENGLER PLLC DBA SOUTHGATE OB/GYN
Street 15265 NORTHLINE ROAD
City SOUTHGATE
State MI
ZIP 48195
Phone 734 281-7040
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director GRACE A. ENGLER

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