23D2322091 CLIA NUMBER - CEDAR BAY MEDICINE PC

Laboratory Demographics

  • CLIA Code: 23D2322091
  • Facility Name: CEDAR BAY MEDICINE PC
  • Facility Address: 2330 S MILFORD ROAD SUITE 120
    HIGHLAND, MI
    ZIP 48357
  • Facility Phone: 248 676-9060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDON GENSON
  • NPI Number: 1669212114
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2322091
LAB Type Physician Office
Facility Name CEDAR BAY MEDICINE PC
Street 2330 S MILFORD ROAD SUITE 120
City HIGHLAND
State MI
ZIP 48357
Phone 248 676-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director BRANDON GENSON

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