23D1026852 CLIA NUMBER - SURGICAL CENTERS OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D1026852
  • Facility Name: SURGICAL CENTERS OF MICHIGAN
  • Facility Address: 4600 INVESTMENT DRIVE SUITE 270
    TROY, MI
    ZIP 48098
  • Facility Phone: 248 267-6222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANTE D. BOLOGNA
  • NPI Number: 1881052363
  • Taxonomy: 363AS0400X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 23D1026852
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL CENTERS OF MICHIGAN
Street 4600 INVESTMENT DRIVE SUITE 270
City TROY
State MI
ZIP 48098
Phone 248 267-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Ambulatory Surgery Center
Lab Director SANTE D. BOLOGNA

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