23D1048528 CLIA NUMBER - COMMERCE PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 23D1048528
  • Facility Name: COMMERCE PRIMARY CARE PC
  • Facility Address: 8800 COMMERCE ROAD
    COMMERCE, MI
    ZIP 48382
  • Facility Phone: 248 363-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL JONNALAGADDA
  • NPI Number: 1679797336
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1048528
LAB Type Physician Office
Facility Name COMMERCE PRIMARY CARE PC
Street 8800 COMMERCE ROAD
City COMMERCE
State MI
ZIP 48382
Phone 248 363-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director SAMUEL JONNALAGADDA

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