23D2078897 CLIA NUMBER - MI EXPRESS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D2078897
  • Facility Name: MI EXPRESS PRIMARY CARE
  • Facility Address: 44237 MICHIGAN AVENUE SUITE B
    CANTON, MI
    ZIP 48188
  • Facility Phone: 734 339-9001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UMAYR A. AZIMI
  • NPI Number: 1467864801
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2078897
LAB Type Physician Office
Facility Name MI EXPRESS PRIMARY CARE
Street 44237 MICHIGAN AVENUE SUITE B
City CANTON
State MI
ZIP 48188
Phone 734 339-9001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director UMAYR A. AZIMI

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