23D2187631 CLIA NUMBER - DEXTER DENTAL STUDIO

Laboratory Demographics

  • CLIA Code: 23D2187631
  • Facility Name: DEXTER DENTAL STUDIO
  • Facility Address: 7300 DEXTER ANN ARBOR ROAD SUITE 300
    DEXTER, MI
    ZIP 48130
  • Facility Phone: 734 426-8360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PIIAMARI R. BOWERS
  • NPI Number: 1053704817
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2187631
LAB Type Physician Office
Facility Name DEXTER DENTAL STUDIO
Street 7300 DEXTER ANN ARBOR ROAD SUITE 300
City DEXTER
State MI
ZIP 48130
Phone 734 426-8360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director PIIAMARI R. BOWERS

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