23D2282582 CLIA NUMBER - THE PEDIATRIC PLACE, PC

Laboratory Demographics

  • CLIA Code: 23D2282582
  • Facility Name: THE PEDIATRIC PLACE, PC
  • Facility Address: 3020 S GENESEE ROAD
    BURTON, MI
    ZIP 48519
  • Facility Phone: 810 744-3321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SWEETY A. SRIVASTAVA
  • NPI Number: 1609479138
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2282582
LAB Type Physician Office
Facility Name THE PEDIATRIC PLACE, PC
Street 3020 S GENESEE ROAD
City BURTON
State MI
ZIP 48519
Phone 810 744-3321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director SWEETY A. SRIVASTAVA

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