23D2209254 CLIA NUMBER - PREMIER PROFESSIONAL SURGERY CENTER, PC

Laboratory Demographics

  • CLIA Code: 23D2209254
  • Facility Name: PREMIER PROFESSIONAL SURGERY CENTER, PC
  • Facility Address: 5014 VILLA LINDE PKWY
    FLINT, MI
    ZIP 48532
  • Facility Phone: (810) 733-5450
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KHALED M. SUKAIRY
  • NPI Number: 1528039567
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2209254
LAB Type Ambulatory Surgery Center
Facility Name PREMIER PROFESSIONAL SURGERY CENTER, PC
Street 5014 VILLA LINDE PKWY
City FLINT
State MI
ZIP 48532
Phone 8107335450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Ambulatory Surgery Center
Lab Director KHALED M. SUKAIRY

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