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23D0696606 CLIA NUMBER - MICHIGAN INSTITUTE OF UROLOGY, PC

Laboratory Demographics

CLIA Number: 23D0696606

Facility Name: MICHIGAN INSTITUTE OF UROLOGY, PC

Facility Address:
20952 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI
ZIP 48081
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Facility Phone Number: 313 884-2244

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1245476670

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 23D0696606
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF UROLOGY, PC
Street 20952 12 MILE RD, SUITE 200
City SAINT CLAIR SHORES
State MI
ZIP 48081
Phone 313 884-2244
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024