23D0368776 CLIA NUMBER - WAYNE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0368776
  • Facility Name: WAYNE PRIMARY CARE
  • Facility Address: 4020 VENOY ROAD, SUITE 400
    WAYNE, MI
    ZIP 48184
  • Facility Phone: 734 729-7220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAY C. PATEL
  • NPI Number: 1609272947
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0368776
LAB Type Physician Office
Facility Name WAYNE PRIMARY CARE
Street 4020 VENOY ROAD, SUITE 400
City WAYNE
State MI
ZIP 48184
Phone 734 729-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director VIJAY C. PATEL

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