23D2250947 CLIA NUMBER - PRIORITY MEDICAL CENTER PLLC

Laboratory Demographics

  • CLIA Code: 23D2250947
  • Facility Name: PRIORITY MEDICAL CENTER PLLC
  • Facility Address: 12101 JOSEPH CAMPAU AVENUE SUITE F
    HAMTRAMCK, MI
    ZIP 48212
  • Facility Phone: 313 893-6218
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RAZA SYED
  • NPI Number: 1538761937
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2250947
LAB Type Community Clinic
Facility Name PRIORITY MEDICAL CENTER PLLC
Street 12101 JOSEPH CAMPAU AVENUE SUITE F
City HAMTRAMCK
State MI
ZIP 48212
Phone 313 893-6218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Community Clinic
Lab Director RAZA SYED

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