23D2147657 CLIA NUMBER - VERNOR PEDIATRIC PC

Laboratory Demographics

  • CLIA Code: 23D2147657
  • Facility Name: VERNOR PEDIATRIC PC
  • Facility Address: 4607 W VERNOR HIGHWAY
    DETROIT, MI
    ZIP 48209
  • Facility Phone: 313 554-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIBRAS R. KARMO
  • NPI Number: 1073010625
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2147657
LAB Type Physician Office
Facility Name VERNOR PEDIATRIC PC
Street 4607 W VERNOR HIGHWAY
City DETROIT
State MI
ZIP 48209
Phone 313 554-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director NIBRAS R. KARMO

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