23D2096958 CLIA NUMBER - ADVANCED PHYSICAL MEDICINE, P C

Laboratory Demographics

  • CLIA Code: 23D2096958
  • Facility Name: ADVANCED PHYSICAL MEDICINE, P C
  • Facility Address: 24345 HARPER AVE
    SAINT CLAIR SHORES, MI
    ZIP 48080
  • Facility Phone: 586 563-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN WILSON
  • NPI Number: 1932129319
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2096958
LAB Type Physician Office
Facility Name ADVANCED PHYSICAL MEDICINE, P C
Street 24345 HARPER AVE
City SAINT CLAIR SHORES
State MI
ZIP 48080
Phone 586 563-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director STEPHEN WILSON

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