23D2073226 CLIA NUMBER - VITAL COMMUNITY CARE PC

Laboratory Demographics

  • CLIA Code: 23D2073226
  • Facility Name: VITAL COMMUNITY CARE PC
  • Facility Address: 24371 W 10 MILE ROAD
    SOUTHFIELD, MI
    ZIP 48033
  • Facility Phone: 248 809-6088
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NAMIR ZUKKOOR
  • NPI Number: 1477976686
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2073226
LAB Type Other - URGENT CARE
Facility Name VITAL COMMUNITY CARE PC
Street 24371 W 10 MILE ROAD
City SOUTHFIELD
State MI
ZIP 48033
Phone 248 809-6088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - URGENT CARE
Lab Director NAMIR ZUKKOOR

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