23D2028849 CLIA NUMBER - INDEPENDENCE URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2028849
  • Facility Name: INDEPENDENCE URGENT CARE
  • Facility Address: 7192 N MAIN STREET
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 384-8600
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: BASHAR OKKA
  • NPI Number: 1215269618
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2028849
LAB Type Other - URGENT CARE
Facility Name INDEPENDENCE URGENT CARE
Street 7192 N MAIN STREET
City CLARKSTON
State MI
ZIP 48346
Phone 248 384-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Other - URGENT CARE
Lab Director BASHAR OKKA

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