23D0713194 CLIA NUMBER - MICHIGAN INSTITUTE OF UROLOGY

Laboratory Demographics

  • CLIA Code: 23D0713194
  • Facility Name: MICHIGAN INSTITUTE OF UROLOGY
  • Facility Address: 130 TOWN CENTER DRIVE SUITE 101 TOWN CENTER BLDG
    TROY, MI
    ZIP 48084
  • Facility Phone: 586 443-4272
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JASON M. HAFRON
  • NPI Number: 1841433588
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D0713194
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF UROLOGY
Street 130 TOWN CENTER DRIVE SUITE 101 TOWN CENTER BLDG
City TROY
State MI
ZIP 48084
Phone 586 443-4272
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director JASON M. HAFRON

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