23D1023344 CLIA NUMBER - MICHIGAN INSTITUTE OF UROLOGY

Laboratory Demographics

  • CLIA Code: 23D1023344
  • Facility Name: MICHIGAN INSTITUTE OF UROLOGY
  • Facility Address: 2300 HAGGERTY ROAD SUITE 2000 LAKES PROFESSIONAL BLDG
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 586 443-4272
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY M. OLDFORD
  • NPI Number: 1649779406
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 23D1023344
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF UROLOGY
Street 2300 HAGGERTY ROAD SUITE 2000 LAKES PROFESSIONAL BLDG
City WEST BLOOMFIELD
State MI
ZIP 48323
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 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director GREGORY M. OLDFORD

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