23D2239769 CLIA NUMBER - CAMPGROUND PEDIATRICS + WELLNESS CENTER PLLC

Laboratory Demographics

  • CLIA Code: 23D2239769
  • Facility Name: CAMPGROUND PEDIATRICS + WELLNESS CENTER PLLC
  • Facility Address: 60005 CAMPGROUND ROAD SUITE 100
    WASHINGTON TOWNSHIP, MI
    ZIP 48094
  • Facility Phone: 586 232-5355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY O SHEA
  • NPI Number: 1699285023
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2239769
LAB Type Physician Office
Facility Name CAMPGROUND PEDIATRICS + WELLNESS CENTER PLLC
Street 60005 CAMPGROUND ROAD SUITE 100
City WASHINGTON TOWNSHIP
State MI
ZIP 48094
Phone 586 232-5355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director MARY O SHEA

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