23D2176545 CLIA NUMBER - PRIME DIAGNOSTICS LAB, INC

Laboratory Demographics

  • CLIA Code: 23D2176545
  • Facility Name: PRIME DIAGNOSTICS LAB, INC
  • Facility Address: 28300 FRANKLIN SUITE B
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: (313) 914-4276
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MOHAMMAD OTHMAN
  • NPI Number: 1093351470
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D2176545
LAB Type Independent
Facility Name PRIME DIAGNOSTICS LAB, INC
Street 28300 FRANKLIN SUITE B
City SOUTHFIELD
State MI
ZIP 48034
Phone 3139144276
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/2/2026
Certificate Expiration Date 3/1/2028
Facility Type Independent
Lab Director DR. MOHAMMAD OTHMAN

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This page was last updated on: 5/15/2026