23D2110933 CLIA NUMBER - PINE KNOB URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2110933
  • Facility Name: PINE KNOB URGENT CARE
  • Facility Address: 6310 SASHABAW ROAD SUITE C
    CLARKSTON, MI
    ZIP 48346
  • Facility Phone: 248 297-5282
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SCOTT C. BONZHEIM
  • NPI Number: 1144694571
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2110933
LAB Type Practitioner Other
Facility Name PINE KNOB URGENT CARE
Street 6310 SASHABAW ROAD SUITE C
City CLARKSTON
State MI
ZIP 48346
Phone 248 297-5282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Practitioner Other
Lab Director SCOTT C. BONZHEIM

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