23D1034923 CLIA NUMBER - PRISM URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D1034923
  • Facility Name: PRISM URGENT CARE
  • Facility Address: 1701 SOUTH BOULEVARD EAST SUITE 150
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 853-6300
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JONATHAN COPELAND
  • NPI Number: 1912157231
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1034923
LAB Type Other - URGENT CARE
Facility Name PRISM URGENT CARE
Street 1701 SOUTH BOULEVARD EAST SUITE 150
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 853-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - URGENT CARE
Lab Director JONATHAN COPELAND

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