23D2277011 CLIA NUMBER - PFEFFERKORN MD PLLC

Laboratory Demographics

  • CLIA Code: 23D2277011
  • Facility Name: PFEFFERKORN MD PLLC
  • Facility Address: 48325 W 12 MILE ROAD SUITE 390
    NOVI, MI
    ZIP 48377
  • Facility Phone: 248 719-7271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TASSIA PFEFFERKORN
  • NPI Number: 1891303061
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2277011
LAB Type Physician Office
Facility Name PFEFFERKORN MD PLLC
Street 48325 W 12 MILE ROAD SUITE 390
City NOVI
State MI
ZIP 48377
Phone 248 719-7271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director TASSIA PFEFFERKORN

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