23D2269793 CLIA NUMBER - ICARE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D2269793
  • Facility Name: ICARE PEDIATRICS PLLC
  • Facility Address: 2390 WOODLAKE DRIVE SUITE 380
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: (517) 316-6240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAREEHA NAZ
  • NPI Number: 1700519444
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2269793
LAB Type Physician Office
Facility Name ICARE PEDIATRICS PLLC
Street 2390 WOODLAKE DRIVE SUITE 380
City OKEMOS
State MI
ZIP 48864
Phone 5173166240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director FAREEHA NAZ

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This page was last updated on: 5/18/2026