23D2217442 CLIA NUMBER - TROY SC CENTER LLC

Laboratory Demographics

  • CLIA Code: 23D2217442
  • Facility Name: TROY SC CENTER LLC
  • Facility Address: 1560 E MAPLE RD SUITE 100
    TROY, MI
    ZIP 48083
  • Facility Phone: 248 396-8109
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN E. SAMANI
  • NPI Number: 1205421542
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2217442
LAB Type Ambulatory Surgery Center
Facility Name TROY SC CENTER LLC
Street 1560 E MAPLE RD SUITE 100
City TROY
State MI
ZIP 48083
Phone 248 396-8109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN E. SAMANI

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