23D2091013 CLIA NUMBER - PLATINUM MANAGEMENT LLC DBA MOVI ASC

Laboratory Demographics

  • CLIA Code: 23D2091013
  • Facility Name: PLATINUM MANAGEMENT LLC DBA MOVI ASC
  • Facility Address: 5250 AUTO CLUB DRIVE, SUITE 170
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 359-8300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: ELIAS H. KASSAB
  • NPI Number: 1194494484
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2091013
LAB Type Ambulatory Surgery Center
Facility Name PLATINUM MANAGEMENT LLC DBA MOVI ASC
Street 5250 AUTO CLUB DRIVE, SUITE 170
City DEARBORN
State MI
ZIP 48126
Phone 313 359-8300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Ambulatory Surgery Center
Lab Director ELIAS H. KASSAB

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