23D2113441 CLIA NUMBER - ROCHESTER OUTPATIENT CENTER

Laboratory Demographics

  • CLIA Code: 23D2113441
  • Facility Name: ROCHESTER OUTPATIENT CENTER
  • Facility Address: 1349 S ROCHESTER ROAD SUITE 150
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 844-3800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAMBIZ BRAL
  • NPI Number: 1376574814
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2113441
LAB Type Ambulatory Surgery Center
Facility Name ROCHESTER OUTPATIENT CENTER
Street 1349 S ROCHESTER ROAD SUITE 150
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 844-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director KAMBIZ BRAL

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This page was last updated on: 6/4/2025