23D0978171 CLIA NUMBER - COREWELL HEALTH W BEAUMONT UNIV HOSP UROLOGY CLINIC-3535 W 13 MILE

Laboratory Demographics

  • CLIA Code: 23D0978171
  • Facility Name: COREWELL HEALTH W BEAUMONT UNIV HOSP UROLOGY CLINIC-3535 W 13 MILE
  • Facility Address: 3535 WEST 13 MILE ROAD, SUITE 404
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 551-3535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH M. PETERS
  • NPI Number: 1023134657
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D0978171
LAB Type Physician Office
Facility Name COREWELL HEALTH W BEAUMONT UNIV HOSP UROLOGY CLINIC-3535 W 13 MILE
Street 3535 WEST 13 MILE ROAD, SUITE 404
City ROYAL OAK
State MI
ZIP 48073
Phone 248 551-3535
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 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director KENNETH M. PETERS

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