23D1015731 CLIA NUMBER - ASC TCG LLC

Laboratory Demographics

  • CLIA Code: 23D1015731
  • Facility Name: ASC TCG LLC
  • Facility Address: 37399 GARFIELD ROAD SUITE 100
    CLINTON TOWNSHIP, MI
    ZIP 48036
  • Facility Phone: 586 498-9440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRUCE S. KOVAN
  • NPI Number: 1407954365
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1015731
LAB Type Ambulatory Surgery Center
Facility Name ASC TCG LLC
Street 37399 GARFIELD ROAD SUITE 100
City CLINTON TOWNSHIP
State MI
ZIP 48036
Phone 586 498-9440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Ambulatory Surgery Center
Lab Director BRUCE S. KOVAN

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