23D2164070 CLIA NUMBER - MICHIGAN ORTHOPAEDIC SPINE SURGEONS

Laboratory Demographics

  • CLIA Code: 23D2164070
  • Facility Name: MICHIGAN ORTHOPAEDIC SPINE SURGEONS
  • Facility Address: 1555 EAST SOUTH BLVD STE 310
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 215-8013
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD W. EASTON
  • NPI Number: 1669809612
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2164070
LAB Type Physician Office
Facility Name MICHIGAN ORTHOPAEDIC SPINE SURGEONS
Street 1555 EAST SOUTH BLVD STE 310
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 215-8013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director RICHARD W. EASTON

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