23D2195089 CLIA NUMBER - WAYNE PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 23D2195089
  • Facility Name: WAYNE PEDIATRICS, INC
  • Facility Address: 400 MACK AVENUE SUITE 1 EAST
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 448-9600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER A. YOUNGMAN
  • NPI Number: 1760015622
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2195089
LAB Type Physician Office
Facility Name WAYNE PEDIATRICS, INC
Street 400 MACK AVENUE SUITE 1 EAST
City DETROIT
State MI
ZIP 48201
Phone 313 448-9600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director CHRISTOPHER A. YOUNGMAN

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