23D2227618 CLIA NUMBER - SILVER PINE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 23D2227618
  • Facility Name: SILVER PINE MEDICAL GROUP
  • Facility Address: 36555 26 MILE ROAD SUITE 2500
    LENOX, MI
    ZIP 48048
  • Facility Phone: 586 726-4823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN G. KOTSONIS
  • NPI Number: 1639105695
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2227618
LAB Type Physician Office
Facility Name SILVER PINE MEDICAL GROUP
Street 36555 26 MILE ROAD SUITE 2500
City LENOX
State MI
ZIP 48048
Phone 586 726-4823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Physician Office
Lab Director STEVEN G. KOTSONIS

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