23D0366165 CLIA NUMBER - ADVANCED PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D0366165
  • Facility Name: ADVANCED PRIMARY CARE PLLC
  • Facility Address: 2888 E LONG LAKE RD SUITE 105
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 689-1330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALESKSANDAR CVETKOVIC
  • NPI Number: 1679728976
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0366165
LAB Type Physician Office
Facility Name ADVANCED PRIMARY CARE PLLC
Street 2888 E LONG LAKE RD SUITE 105
City TROY
State MI
ZIP 48085
Phone 248 689-1330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALESKSANDAR CVETKOVIC

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