23D2166342 CLIA NUMBER - MICHIGAN STATE UNIVERSITY - DEPARTMENT OF MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2166342
  • Facility Name: MICHIGAN STATE UNIVERSITY - DEPARTMENT OF MEDICINE
  • Facility Address: 909 WILSON RD, ROOM 118 WEST FEE
    EAST LANSING, MI
    ZIP 48824
  • Facility Phone: 517 353-1846
  • Facility Type: Other - TESTING - RESEARCH
  • Facility Type: Waiver
  • Lab Director: KENNETH D. ROSENMAN
  • NPI Number: 1467535211
  • Taxonomy: 2080N0001X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2166342
LAB Type Other - TESTING - RESEARCH
Facility Name MICHIGAN STATE UNIVERSITY - DEPARTMENT OF MEDICINE
Street 909 WILSON RD, ROOM 118 WEST FEE
City EAST LANSING
State MI
ZIP 48824
Phone 517 353-1846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other - TESTING - RESEARCH
Lab Director KENNETH D. ROSENMAN

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