23D2316404 CLIA NUMBER - EASTSIDE FAMILY DOCTOR PC

Laboratory Demographics

  • CLIA Code: 23D2316404
  • Facility Name: EASTSIDE FAMILY DOCTOR PC
  • Facility Address: 19601 E 8 MILE ROAD
    ST CLAIR SHORES, MI
    ZIP 48080
  • Facility Phone: 586 800-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESHEL S. TURK
  • NPI Number: 1235516949
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2316404
LAB Type Physician Office
Facility Name EASTSIDE FAMILY DOCTOR PC
Street 19601 E 8 MILE ROAD
City ST CLAIR SHORES
State MI
ZIP 48080
Phone 586 800-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director ESHEL S. TURK

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