23D2074530 CLIA NUMBER - MICHIGAN BRAIN AND SPINE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D2074530
  • Facility Name: MICHIGAN BRAIN AND SPINE SURGERY CENTER
  • Facility Address: 5107 ROCHESTER ROAD
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 723-2477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIA J. ZAMORANO
  • NPI Number: 1275751992
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 23D2074530
LAB Type Physician Office
Facility Name MICHIGAN BRAIN AND SPINE SURGERY CENTER
Street 5107 ROCHESTER ROAD
City TROY
State MI
ZIP 48085
Phone 248 723-2477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director LUCIA J. ZAMORANO

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