23D2132799 CLIA NUMBER - PREMIER HEALTH CARE

Laboratory Demographics

CLIA Number: 23D2132799

Facility Name: PREMIER HEALTH CARE

Facility Address:
10415 E GRAND RIVER ROAD
BRIGHTON, MI
ZIP 48116
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Facility Phone Number: 810 360-0746

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1740725597

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2132799
LAB Type	Physician Office
Facility Name	PREMIER HEALTH CARE
Street	10415 E GRAND RIVER ROAD
City	BRIGHTON
State	MI
ZIP	48116
Phone	810 360-0746
CertificateType	3
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024