23D1069081 CLIA NUMBER - WATERFORD SURGICAL CENTER, THE

Laboratory Demographics

  • CLIA Code: 23D1069081
  • Facility Name: WATERFORD SURGICAL CENTER, THE
  • Facility Address: 5220 HIGHLAND ROAD SUITE 100
    WATERFORD, MI
    ZIP 48327
  • Facility Phone: 248 886-5555
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHERWIN P. IMLAY
  • NPI Number: 1376862474
  • Taxonomy: 207L00000X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1069081
LAB Type Ambulatory Surgery Center
Facility Name WATERFORD SURGICAL CENTER, THE
Street 5220 HIGHLAND ROAD SUITE 100
City WATERFORD
State MI
ZIP 48327
Phone 248 886-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Ambulatory Surgery Center
Lab Director SHERWIN P. IMLAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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