23D2164363 CLIA NUMBER - PEDIAKARE PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 23D2164363
  • Facility Name: PEDIAKARE PEDIATRIC CLINIC
  • Facility Address: 35240 NANKIN BLVD
    WESTLAND, MI
    ZIP 48185
  • Facility Phone: 734 427-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVYANI GUPTA
  • NPI Number: 1467917955
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2164363
LAB Type Physician Office
Facility Name PEDIAKARE PEDIATRIC CLINIC
Street 35240 NANKIN BLVD
City WESTLAND
State MI
ZIP 48185
Phone 734 427-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director DEVYANI GUPTA

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