23D2125080 CLIA NUMBER - HYPERTENSION NEPHROLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 23D2125080
  • Facility Name: HYPERTENSION NEPHROLOGY ASSOC
  • Facility Address: 5250 AUTO CLUB DRIVE SUITE 310 B
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 248 478-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON I. BIEDERMAN
  • NPI Number: 1417068693
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2125080
LAB Type Physician Office
Facility Name HYPERTENSION NEPHROLOGY ASSOC
Street 5250 AUTO CLUB DRIVE SUITE 310 B
City DEARBORN
State MI
ZIP 48126
Phone 248 478-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director JASON I. BIEDERMAN

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