23D2251998 CLIA NUMBER - BURTON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D2251998
  • Facility Name: BURTON PRIMARY CARE
  • Facility Address: 1501 SOUTH CENTER ROAD
    BURTON, MI
    ZIP 48509
  • Facility Phone: 810 780-4490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIMAT A. AHMED
  • NPI Number: 1518626316
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2251998
LAB Type Physician Office
Facility Name BURTON PRIMARY CARE
Street 1501 SOUTH CENTER ROAD
City BURTON
State MI
ZIP 48509
Phone 810 780-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director NEIMAT A. AHMED

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