23D2150560 CLIA NUMBER - GOGUE PEDIATRICS, P C

Laboratory Demographics

  • CLIA Code: 23D2150560
  • Facility Name: GOGUE PEDIATRICS, P C
  • Facility Address: 39242 DEQUINDRE ROAD SUITE 101
    STERLING HEIGHTS, MI
    ZIP 48310
  • Facility Phone: 586 446-8060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL L. GOGUE
  • NPI Number: 1265921191
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2150560
LAB Type Physician Office
Facility Name GOGUE PEDIATRICS, P C
Street 39242 DEQUINDRE ROAD SUITE 101
City STERLING HEIGHTS
State MI
ZIP 48310
Phone 586 446-8060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director PAUL L. GOGUE

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