23D2190139 CLIA NUMBER - URGENT CARE AID MACOMB PLLC

Laboratory Demographics

  • CLIA Code: 23D2190139
  • Facility Name: URGENT CARE AID MACOMB PLLC
  • Facility Address: 16820 21 MILE ROAD
    MACOMB, MI
    ZIP 48044
  • Facility Phone: 586 329-4222
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT KANTOR
  • NPI Number: 1023633062
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2190139
LAB Type Other - URGENT CARE
Facility Name URGENT CARE AID MACOMB PLLC
Street 16820 21 MILE ROAD
City MACOMB
State MI
ZIP 48044
Phone 586 329-4222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Other - URGENT CARE
Lab Director ROBERT KANTOR

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