23D2011288 CLIA NUMBER - PREMIER HOSPICE

Laboratory Demographics

  • CLIA Code: 23D2011288
  • Facility Name: PREMIER HOSPICE
  • Facility Address: 33333 DEQUINDRE ROAD SUITE D
    TROY, MI
    ZIP 48083
  • Facility Phone: 248 588-1885
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TAMMY A. SCOTT-BARNEY
  • NPI Number: 1992198337
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2011288
LAB Type Hospice
Facility Name PREMIER HOSPICE
Street 33333 DEQUINDRE ROAD SUITE D
City TROY
State MI
ZIP 48083
Phone 248 588-1885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Hospice
Lab Director TAMMY A. SCOTT-BARNEY

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