23D1099837 CLIA NUMBER - MICHIGAN INSTITUTE OF UROLOGY PC

Laboratory Demographics

  • CLIA Code: 23D1099837
  • Facility Name: MICHIGAN INSTITUTE OF UROLOGY PC
  • Facility Address: 19117 ALLEN ROAD SUITE A
    BROWNSTOWN TOWNSHIP, MI
    ZIP 48183
  • Facility Phone: 586 443-4272
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. LAW
  • NPI Number: 1053356774
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1099837
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF UROLOGY PC
Street 19117 ALLEN ROAD SUITE A
City BROWNSTOWN TOWNSHIP
State MI
ZIP 48183
Phone 586 443-4272
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director DAVID W. LAW

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