23D2243630 CLIA NUMBER - PROMED URGENT CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D2243630
  • Facility Name: PROMED URGENT CARE PLLC
  • Facility Address: 19041 TWELVE MILE ROAD SUITE 102
    ROSEVILLE, MI
    ZIP 48066
  • Facility Phone: 248 632-8182
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOLIS S. KYRIACOU
  • NPI Number: 1396409454
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2243630
LAB Type Physician Office
Facility Name PROMED URGENT CARE PLLC
Street 19041 TWELVE MILE ROAD SUITE 102
City ROSEVILLE
State MI
ZIP 48066
Phone 248 632-8182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director MANOLIS S. KYRIACOU

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