23D1095792 CLIA NUMBER - CLARKSTON SURGERY CENTER DBA CLARKSTON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D1095792
  • Facility Name: CLARKSTON SURGERY CENTER DBA CLARKSTON SURGERY CENTER
  • Facility Address: 5701 BOW POINTE DR
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 922-4800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ARON GLASESER
  • NPI Number: 1528219474
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1095792
LAB Type Ambulatory Surgery Center
Facility Name CLARKSTON SURGERY CENTER DBA CLARKSTON SURGERY CENTER
Street 5701 BOW POINTE DR
City CLARKSTON
State MI
ZIP 48346
Phone 248 922-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Ambulatory Surgery Center
Lab Director ARON GLASESER

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