23D2263378 CLIA NUMBER - RENAISSANCE PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 23D2263378
  • Facility Name: RENAISSANCE PLASTIC SURGERY
  • Facility Address: 85 E BIG BEAVER ROAD
    TROY, MI
    ZIP 48083
  • Facility Phone: 586 779-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. STEFANI
  • NPI Number: 1134278401
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2263378
LAB Type Physician Office
Facility Name RENAISSANCE PLASTIC SURGERY
Street 85 E BIG BEAVER ROAD
City TROY
State MI
ZIP 48083
Phone 586 779-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director WILLIAM A. STEFANI

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