23D2329300 CLIA NUMBER - LEGACY DERMATOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 23D2329300
  • Facility Name: LEGACY DERMATOLOGY GROUP
  • Facility Address: 2817 S MILFORD ROAD SUITE 101
    HIGHLAND, MI
    ZIP 48357
  • Facility Phone: 248 338-6400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHELLE S. LEGACY
  • NPI Number: 1588019053
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2329300
LAB Type Physician Office
Facility Name LEGACY DERMATOLOGY GROUP
Street 2817 S MILFORD ROAD SUITE 101
City HIGHLAND
State MI
ZIP 48357
Phone 248 338-6400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Physician Office
Lab Director MICHELLE S. LEGACY

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