23D0721864 CLIA NUMBER - TRINITY HEALTH ACADEMIC INTERNAL MEDICINE ANN ARBOR

Laboratory Demographics

  • CLIA Code: 23D0721864
  • Facility Name: TRINITY HEALTH ACADEMIC INTERNAL MEDICINE ANN ARBOR
  • Facility Address: 5333 MCAULEY DRIVE SUITE 4001
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 734 712-3980
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: COREY R. DEAN
  • NPI Number: 1649393950
  • Taxonomy: 173000000X - Legal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0721864
LAB Type Physician Office
Facility Name TRINITY HEALTH ACADEMIC INTERNAL MEDICINE ANN ARBOR
Street 5333 MCAULEY DRIVE SUITE 4001
City YPSILANTI
State MI
ZIP 48197
Phone 734 712-3980
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director COREY R. DEAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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