23D2089532 CLIA NUMBER - TROY PRIMARY CARE CENTER P C

Laboratory Demographics

  • CLIA Code: 23D2089532
  • Facility Name: TROY PRIMARY CARE CENTER P C
  • Facility Address: 1380 COOLIDGE HIGHWAY, SUITE 200
    TROY, MI
    ZIP 48084
  • Facility Phone: 248 288-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HADEEL N. KADO
  • NPI Number: 1902045073
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2089532
LAB Type Physician Office
Facility Name TROY PRIMARY CARE CENTER P C
Street 1380 COOLIDGE HIGHWAY, SUITE 200
City TROY
State MI
ZIP 48084
Phone 248 288-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director HADEEL N. KADO

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