23D2134294 CLIA NUMBER - CLARKSTON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 23D2134294
  • Facility Name: CLARKSTON MEDICAL GROUP
  • Facility Address: 834 S LAPEER ROAD
    OXFORD, MI
    ZIP 48371
  • Facility Phone: 248 625-2621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEAN R. MOSCOVIC
  • NPI Number: 1659098739
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 23D2134294
LAB Type Physician Office
Facility Name CLARKSTON MEDICAL GROUP
Street 834 S LAPEER ROAD
City OXFORD
State MI
ZIP 48371
Phone 248 625-2621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director DEAN R. MOSCOVIC

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