23D2144251 CLIA NUMBER - DEON D MIDDLEBROOK MD PC

Laboratory Demographics

  • CLIA Code: 23D2144251
  • Facility Name: DEON D MIDDLEBROOK MD PC
  • Facility Address: 20176 LIVERNOIS AVENUE SUITE 100
    DETROIT, MI
    ZIP 48221
  • Facility Phone: 313 864-3000
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DEON D. MIDDLEBROOK
  • NPI Number: 1508898123
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2144251
LAB Type Other - URGENT CARE
Facility Name DEON D MIDDLEBROOK MD PC
Street 20176 LIVERNOIS AVENUE SUITE 100
City DETROIT
State MI
ZIP 48221
Phone 313 864-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Other - URGENT CARE
Lab Director DEON D. MIDDLEBROOK

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This page was last updated on: 6/4/2025