23D2013984 CLIA NUMBER - PRIZM PAIN SPECIALISTS PLLC

Laboratory Demographics

  • CLIA Code: 23D2013984
  • Facility Name: PRIZM PAIN SPECIALISTS PLLC
  • Facility Address: 6200 HAGGERTY RD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 355-0860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY ROSENBERG
  • NPI Number: 1437478716
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2013984
LAB Type Physician Office
Facility Name PRIZM PAIN SPECIALISTS PLLC
Street 6200 HAGGERTY RD
City CANTON
State MI
ZIP 48187
Phone 734 355-0860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director JEFFREY ROSENBERG

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