23D1094585 CLIA NUMBER - CLINTON PARTNERS LLC DBA PREMIER SURGICAL CENTER OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D1094585
  • Facility Name: CLINTON PARTNERS LLC DBA PREMIER SURGICAL CENTER OF MICHIGAN
  • Facility Address: 43475 DALCOMA STREET SUITE 100
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Facility Phone: 586 263-5043
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LINDA JENKINS
  • NPI Number: 1841603362
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 23D1094585
LAB Type Ambulatory Surgery Center
Facility Name CLINTON PARTNERS LLC DBA PREMIER SURGICAL CENTER OF MICHIGAN
Street 43475 DALCOMA STREET SUITE 100
City CLINTON TOWNSHIP
State MI
ZIP 48038
Phone 586 263-5043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Ambulatory Surgery Center
Lab Director LINDA JENKINS

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