23D2309622 CLIA NUMBER - MICHIGAN DERMATOLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 23D2309622
  • Facility Name: MICHIGAN DERMATOLOGY INSTITUTE
  • Facility Address: 39201 W 7 MILE ROAD SUITE 140
    LIVONIA, MI
    ZIP 48152
  • Facility Phone: 248 681-9541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORY J. RUBIN
  • NPI Number: 1518513902
  • Taxonomy: 207NI0002X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2309622
LAB Type Physician Office
Facility Name MICHIGAN DERMATOLOGY INSTITUTE
Street 39201 W 7 MILE ROAD SUITE 140
City LIVONIA
State MI
ZIP 48152
Phone 248 681-9541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director CORY J. RUBIN

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