23D2178151 CLIA NUMBER - MEDPRO PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D2178151
  • Facility Name: MEDPRO PRIMARY CARE PLLC
  • Facility Address: 17901 HURON RIVER DRIVE
    NEW BOSTON, MI
    ZIP 48164
  • Facility Phone: (248) 379-1728
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL V. KAPADIA
  • NPI Number: 1639700107
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2178151
LAB Type Physician Office
Facility Name MEDPRO PRIMARY CARE PLLC
Street 17901 HURON RIVER DRIVE
City NEW BOSTON
State MI
ZIP 48164
Phone 2483791728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Physician Office
Lab Director DANIEL V. KAPADIA

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This page was last updated on: 5/18/2026