23D2013985 CLIA NUMBER - PREMIER MEDICAL CLINICS

Laboratory Demographics

  • CLIA Code: 23D2013985
  • Facility Name: PREMIER MEDICAL CLINICS
  • Facility Address: 1165 S LINDEN RD SUITE A
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 732-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJ G. ETHIRAJ
  • NPI Number: 1740434851
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2013985
LAB Type Physician Office
Facility Name PREMIER MEDICAL CLINICS
Street 1165 S LINDEN RD SUITE A
City FLINT
State MI
ZIP 48532
Phone 810 732-5400
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 RAJ G. ETHIRAJ

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