23D1005184 CLIA NUMBER - BERKLEY PRIMARE CARE, PLC

Laboratory Demographics

  • CLIA Code: 23D1005184
  • Facility Name: BERKLEY PRIMARE CARE, PLC
  • Facility Address: 26711 WOODWARD, SUITE 103
    HUNTINGTON WOODS, MI
    ZIP 48070
  • Facility Phone: 248 543-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN SWANSON
  • NPI Number: 1316082399
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1005184
LAB Type Physician Office
Facility Name BERKLEY PRIMARE CARE, PLC
Street 26711 WOODWARD, SUITE 103
City HUNTINGTON WOODS
State MI
ZIP 48070
Phone 248 543-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director KAREN SWANSON

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