23D2138103 CLIA NUMBER - PURE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2138103
  • Facility Name: PURE INTERNAL MEDICINE
  • Facility Address: 8391 COMMERCE ROAD SUITE 110A
    COMMERCE TOWNSHIP, MI
    ZIP 48382
  • Facility Phone: 947 800-7302
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHYAM MAHESH
  • NPI Number: 1922535871
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2138103
LAB Type Physician Office
Facility Name PURE INTERNAL MEDICINE
Street 8391 COMMERCE ROAD SUITE 110A
City COMMERCE TOWNSHIP
State MI
ZIP 48382
Phone 947 800-7302
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director SHYAM MAHESH

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