23D2320586 CLIA NUMBER - THRIVE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 23D2320586
  • Facility Name: THRIVE PEDIATRICS PLLC
  • Facility Address: 28248 FORD ROAD
    GARDEN CITY, MI
    ZIP 48135
  • Facility Phone: 734 458-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA HAIDAR
  • NPI Number: 1376350868
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2320586
LAB Type Physician Office
Facility Name THRIVE PEDIATRICS PLLC
Street 28248 FORD ROAD
City GARDEN CITY
State MI
ZIP 48135
Phone 734 458-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director SARA HAIDAR

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