23D2055198 CLIA NUMBER - MICHIGAN INSTITUTE OF UROLOGY

Laboratory Demographics

  • CLIA Code: 23D2055198
  • Facility Name: MICHIGAN INSTITUTE OF UROLOGY
  • Facility Address: 2300 GENOA BUSINESS DRIVE STE 120
    BRIGHTON, MI
    ZIP 48114
  • Facility Phone: 586 443-4272
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FADI A. ELIYA
  • NPI Number: 1487059671
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 23D2055198
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF UROLOGY
Street 2300 GENOA BUSINESS DRIVE STE 120
City BRIGHTON
State MI
ZIP 48114
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 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director FADI A. ELIYA

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