23D2295260 CLIA NUMBER - CANTON PEDIATRICS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 23D2295260
  • Facility Name: CANTON PEDIATRICS CLINIC, PLLC
  • Facility Address: 6231 N CANTON CENTER ROAD SUITE 101
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 455-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REENA REDDY
  • NPI Number: 1841078557
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2295260
LAB Type Physician Office
Facility Name CANTON PEDIATRICS CLINIC, PLLC
Street 6231 N CANTON CENTER ROAD SUITE 101
City CANTON
State MI
ZIP 48187
Phone 734 455-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director REENA REDDY

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