23D1070198 CLIA NUMBER - TROY INTERNAL MEDICINE RESEARCH

Laboratory Demographics

  • CLIA Code: 23D1070198
  • Facility Name: TROY INTERNAL MEDICINE RESEARCH
  • Facility Address: 4967 CROOKS ROAD SUITE 130
    TROY, MI
    ZIP 48098
  • Facility Phone: 248 312-0025
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: NEIL J. FRASER
  • NPI Number: 1356450589
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1070198
LAB Type Other
Facility Name TROY INTERNAL MEDICINE RESEARCH
Street 4967 CROOKS ROAD SUITE 130
City TROY
State MI
ZIP 48098
Phone 248 312-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Other
Lab Director NEIL J. FRASER

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