23D2183755 CLIA NUMBER - EXCLUSIVE PHYSICIANS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2183755
  • Facility Name: EXCLUSIVE PHYSICIANS, PLLC
  • Facility Address: 18591 W 10 MILE ROAD
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 336-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TED NAMAN
  • NPI Number: 1215539911
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D2183755
LAB Type Physician Office
Facility Name EXCLUSIVE PHYSICIANS, PLLC
Street 18591 W 10 MILE ROAD
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 336-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director TED NAMAN

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