23D2059235 CLIA NUMBER - ADVANCED SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D2059235
  • Facility Name: ADVANCED SURGERY CENTER
  • Facility Address: 13530 MICHIGAN AVENUE SUITE 100
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 580-4192
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LINDA T. PRISTER
  • NPI Number: 1942646435
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2059235
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER
Street 13530 MICHIGAN AVENUE SUITE 100
City DEARBORN
State MI
ZIP 48126
Phone 313 580-4192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Ambulatory Surgery Center
Lab Director LINDA T. PRISTER

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