23D2326020 CLIA NUMBER - EXCLUSIVE PHYSICIANS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2326020
  • Facility Name: EXCLUSIVE PHYSICIANS, PLLC
  • Facility Address: 21501 KELLY ROAD
    EASTPOINTE, MI
    ZIP 48021
  • Facility Phone: 248 970-0589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TED NAMAN
  • NPI Number: 1962273763
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 23D2326020
LAB Type Physician Office
Facility Name EXCLUSIVE PHYSICIANS, PLLC
Street 21501 KELLY ROAD
City EASTPOINTE
State MI
ZIP 48021
Phone 248 970-0589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director TED NAMAN

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