23D2171170 CLIA NUMBER - CORY J RUBIN MD PC

Laboratory Demographics

  • CLIA Code: 23D2171170
  • Facility Name: CORY J RUBIN MD PC
  • Facility Address: 2665 ELIZABETH LAKE ROAD
    WATERFORD, MI
    ZIP 48328
  • Facility Phone: 248 681-9541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORY J. RUBIN
  • NPI Number: 1780888974
  • Taxonomy: 207NI0002X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2171170
LAB Type Physician Office
Facility Name CORY J RUBIN MD PC
Street 2665 ELIZABETH LAKE ROAD
City WATERFORD
State MI
ZIP 48328
Phone 248 681-9541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director CORY J. RUBIN

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